[Presumed consent for organ donation? : A survey among members of the German Society of Medical Intensive Care and Emergency Medicine]

Med Klin Intensivmed Notfmed. 2020 Apr;115(3):239-244. doi: 10.1007/s00063-019-0579-2. Epub 2019 Apr 10.
[Article in German]

Abstract

Background: Since 2010, the number of organ donations has decreased by 30% in Germany; however, stricter organizational structures in clinics and improved payment for hospital services associated with organ removal should increase the current decline in the number of organ donations in Germany. In addition, the Federal Minister of Health proposed introduction of the double presumed consent solution for organ donation. This proposal is currently being discussed very controversially. Against this background, we conducted an online survey of all members of the German Society of Medical Intensive Care and Emergency Medicine (DGIIN) in order to evaluate the attitude towards organ donation.

Method: The present work is an anonymous online survey among the members of DGIIN, which took place from 10-23 September 2018. In addition to a few demographic queries, the personal opinion on the regulation of organ donation was collected.

Results: A total of 1019 (51.9%) of 1964 invited DGIIN members took part at the survey: 79.3% of the participants were male; average age 47.5 ± 11.2 years; 97.7% were physicians, of whom 89.2% were specialists and 62.7% had the additional degree in critical care; 20.6% voted for the current decision-making solution, 43.1% for the presumed consent, 33.1% for the double presumed consent, whereas 3.2% of the respondents were uncertain in their decision.

Conclusion: A clear majority of the surveyed members of DGIIN support the concept of presumed consent.

Keywords: Critical care; Organ donation; Organ shortage; Presumed consent; Transplantation.

MeSH terms

  • Adult
  • Critical Care
  • Emergency Medicine*
  • Germany
  • Humans
  • Male
  • Middle Aged
  • Presumed Consent
  • Surveys and Questionnaires
  • Tissue Donors
  • Tissue and Organ Procurement*