Public Perception of Organ Donation and Transplantation Policies in Southern Spain

Díaz-Cobacho, Gonzalo; Cruz-Piqueras, Maite; Rodríguez, Janet Delgado; Hortal-Carmona, Joaquín; Martínez-López, María Victoria; Pérez, Alberto Molina; Padilla‐Pozo, Álvaro; Romero, Julia Ranchal; Rodríguez‐Arias, David

doi:10.1016/j.transproceed.2022.02.007

Cited by 10 publications

(9 citation statements)

References 20 publications

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“…average with 48.9 donors per million people in 2019. That is well above international averages as a result of the coordination system established in the country in 1989 [20].…”

Section: Accepted Manuscriptmentioning

confidence: 79%

“…That is well above international averages as a result of the coordination system established in the country in 1989. 20 In this way, while the number of donations increases, the number of LTs and the rate of contribution to the scientific literature also increases. 1 The scientific productivity of countries is linked to economic and scientific power.…”

Section: Discussionmentioning

confidence: 99%

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Bibliometric Analysis of Scientific Output Growth in the Field of Lung Transplantation

Tokur,

Alkan

2023

Thorac Cardiovasc Surg

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Background Lung transplantation (LT) has recently emerged as a scientifically validated curative therapeutic modality for patients afflicted with end-stage lung disease. This study aimed to conduct a global bibliometric analysis of research articles on LT between 1983 and 2021. Methods Employing the Web of Science database, a bibliometric analysis was conducted to assess the expansion of scientific output within the field of LT. We searched specific bibliometric characteristics such as language, and year of publication, first author, institutional affiliation, main publishing journals, and highly cited articles. Additionally, we made comparisons of the most productive countries. The VOSviewer program and the open-source visualization software Biblioshiny (version 2.0) were used to perform the bibliometric analysis. Results We identified 10,467 articles on LT published between 1983 and 2021, of which 94.898% were published in the Science Citation Index Expanded. The articles were from 101 different research areas. The publications were from 81 different countries globally, and mostly from the United States (41.196%), Germany (7.118%), and Canada (6.372%). The Journal of Heart and Lung Transplantation was the most published journal. Four thousand seven hundred and ninety three of the publications were published in the last 10 years with a 78,781 citation number in total. The highest number of publications and citations was in 2021. Conclusion The majority of cutting-edge research findings are focused on only a few developed nations, and exchanges with emerging nations are still in their infancy. The United States has a strong, commanding position among the active countries in LT.

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“…average with 48.9 donors per million people in 2019. That is well above international averages as a result of the coordination system established in the country in 1989 [20].…”

Section: Accepted Manuscriptmentioning

confidence: 79%

Section: Discussionmentioning

confidence: 99%

Bibliometric Analysis of Scientific Output Growth in the Field of Lung Transplantation

Tokur,

Alkan

2023

Thorac Cardiovasc Surg

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“…Despite these efforts, some knowledge gaps among the general population regarding organ donation and population remain. For example, a recent survey indicated poor knowledge and consent for donation when individuals were provided with actual clinical scenarios of organ donation ( 30 ). Also, surveys revealed a lack of knowledge regarding current consent legislation both recently and in past years ( 30 , 31 ).…”

Section: Resultsmentioning

confidence: 99%

“…For example, a recent survey indicated poor knowledge and consent for donation when individuals were provided with actual clinical scenarios of organ donation ( 30 ). Also, surveys revealed a lack of knowledge regarding current consent legislation both recently and in past years ( 30 , 31 ). However, as indicated by the low rates of family refusal rates, these are issues that are successfully addressed in family consultations.…”

Section: Resultsmentioning

confidence: 99%

Ten Lessons From the Spanish Model of Organ Donation and Transplantation

Streit¹,

Johnston-Webber²,

Mah³

et al. 2023

Transpl Int

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The organ donation and transplantation program in Spain has long been considered the gold standard worldwide. An in-depth understanding of the Spanish program may promote the development and reform of transplant programs in other countries. Here, we present a narrative literature review of the Spanish organ donation and transplantation program supplemented by expert feedback and presented according to a conceptual framework of best practices in the field. Core features of the Spanish program include its three-tiered governing structure, close and collaborative relationships with the media, dedicated professional roles, a comprehensive reimbursement strategy, and intensive tailored training programs for all personnel. Several more sophisticated measures have also been implemented, including those focused on advanced donation after circulatory death (DCD) and expanded criteria for organ donation. The overall program is driven by a culture of research, innovation, and continuous commitment and complemented by successful strategies in prevention of end-stage liver and renal disease. Countries seeking ways to reform their current transplant systems might adopt core features and may ultimately aspire to include the aforementioned sophisticated measures. Countries intent on reforming their transplant system should also introduce programs that support living donation, an area of the Spanish program with potential for further improvement.

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“…Their governance quality should also be assessed, although we may lack proper data to do so 49. Recent systematic reviews have raised concerns by suggesting that the population in opt-out countries tend to be less aware of their consent system than in opt-in countries40 and that a majority of the public supports the involvement of the family in organ recovery decision-making and, in particular, their role as surrogate when the deceased has expressed no preference 50 51 50 51. This adds to the ongoing ethical debates over the family veto52 and opt-out policies acceptability 53…”

Section: Discussionmentioning

confidence: 99%

Differential impact of opt-in, opt-out policies on deceased organ donation rates: a mixed conceptual and empirical study

2022

Self Cite

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ObjectivesTo increase postmortem organ donation rates, several countries are adopting an opt-out (presumed consent) policy, meaning that individuals are deemed donors unless they expressly refused so. Although opt-out countries tend to have higher donation rates, there is no conclusive evidence that this is caused by the policy itself. The main objective of this study is to better assess the direct impact of consent policy defaults per se on deceased organ recovery rates when considering the role of the family in the decision-making process. This study does not take into account any indirect effects of defaults, such as potential psychological and behavioural effects on individuals and their relatives.DesignBased on previous work regarding consent policies, we created a conceptual model of the decision-making process for deceased organ recovery that included any scenario that could be directly influenced by opt-in or opt-out policies. We then applied this model to internationally published data of the consent process to determine how frequently policy defaults could apply.Main outcome measuresWe measure the direct impact that opt-in and opt-out policies have per se on deceased organ recovery.ResultsOur analysis shows that opt-in and opt-out have strictly identical outcomes in eight out of nine situations. They only differ when neither the deceased nor the family have expressed a preference and defaults therefore apply. The direct impact of consent policy defaults is typically circumscribed to a range of 0%–5% of all opportunities for organ recovery. Our study also shows that the intervention of the family improves organ retrieval under opt-in but hinders it under opt-out.ConclusionsThis study may warn policy makers that, by emphasising the need to introduce presumed consent to increase organ recovery rates, they might be overestimating the influence of the default and underestimating the power granted to families.

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Public Perception of Organ Donation and Transplantation Policies in Southern Spain

Cited by 10 publications

References 20 publications

Bibliometric Analysis of Scientific Output Growth in the Field of Lung Transplantation

Bibliometric Analysis of Scientific Output Growth in the Field of Lung Transplantation

Ten Lessons From the Spanish Model of Organ Donation and Transplantation

Differential impact of opt-in, opt-out policies on deceased organ donation rates: a mixed conceptual and empirical study

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