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The need for organ donation is growing while the number of those dying in ways to be eligible to donate (i.e. head trauma and auto accidents) is decreasing (Punch et al., 2007). In the U.S. alone there are over 111,000 people waiting for an organ transplant, with that number continuing to grow on an almost daily basis (United Network for Organ Sharing (UNOS), 2011). Additionally, over 7,000 individuals in the U.S. have died each year for the past ten years while waiting for a transplant, and over 100,000 have died within the past 15 years (Organ Procurement and Transplantation Network (OPTN), 2011). While few countries have been able to consistently increase the number of donors from year-to-year (with Spain being a notable exception), there are still large numbers of individuals who are eligible to donate and do not. One key factor in that helps explain lack of consent by family members to donation in the U.S. has been lack of knowledge of a deceased’s wishes. When family members know of a desire to donate, rates of consent to donate are in the 85 – 95% range compared to 25 – 55% when they do not know the deceased’s wishes (e.g. Rodrigue et al., 2005; Siminoff & Lawrence, 2002). Additionally, some research has shown that knowing an individual’s wishes to donate made the family 6.9 times as likely to consent to donation (Siminoff & Lawrence, 2002). Thus, increasing declarations of intent or consent through registries is one way to insure family members know of a loved one’s wishes to donate.

Increasing the Likelihood of Consent in Deceased Donations: Point-of-Decision Campaigns, Registries, and the Law of Large Numbers