Factors influencing the family consent rate for organ donation in the UK

Anaesthesia ◽  
2016 ◽  
Vol 71 (9) ◽  
pp. 1053-1063 ◽  
Author(s):  
W. Hulme ◽  
J. Allen ◽  
A. R. Manara ◽  
P. G. Murphy ◽  
D. Gardiner ◽  
...  
Keyword(s):  
Organ Donation ◽  
Consent Rate ◽  
Factors Influencing ◽  
The Family ◽  
The Uk ◽  
Family Consent

Validation of the factors influencing family consent for organ donation in the UK

Anaesthesia ◽  
2021 ◽  
Author(s):  
R. M. K. Curtis ◽  
A. R. Manara ◽  
S. Madden ◽  
C. Brown ◽  
S. Duncalf ◽  
...  
Keyword(s):  
Organ Donation ◽  
Factors Influencing ◽  
The Uk ◽  
Family Consent

The Timing Factor in the Consent Process

1996 ◽  
Vol 6 (2) ◽  
pp. 84-87 ◽  
Author(s):  
Patricia A Niles ◽  
Burton J Mattice
Keyword(s):  
Organ Donation ◽  
Medical Profession ◽  
Organ Procurement ◽  
Organ Donor ◽  
Apparent Difference ◽  
Next Of Kin ◽  
Consent Rate ◽  
Family Approach ◽  
The Family ◽  
Organ Procurement Organizations

Organ procurement organizations have been educating the medical profession on the importance of timing during the donation request process. Separating the request for donation from the notification of death has been encouraged when approaching families for consent for organ donation. This study evaluated the timing of the family approach and consent rates. A 23-month study was performed on all organ donor referrals in a 1.1 million population base. During the study period there were 203 referrals: 67 were medically unsuitable, next-of-kin was not available in 2 cases, 7 were coroner refusals, and 127 were suitable for donation. In this latter group, families were offered the option of organ donation. No apparent difference when donation was requested before or after the death pronouncement was found. Data indicated, however, that when the family is told of the death and is asked for donation simultaneously, the consent rate decreases 32% to 37%.

scholarly journals CAUSES OF LOWERED FAMILY CONSENT RATE FOR ORGAN DONATION

2020 ◽  
Vol 104 (S3) ◽  
pp. S275-S275
Author(s):  
Eunsuk Yu ◽  
MyoungHwa Lee ◽  
Eunji Lee ◽  
Yuri Chong ◽  
Youngsoon Jeong ◽  
...  
Keyword(s):  
Organ Donation ◽  
Consent Rate ◽  
Family Consent

Contemporary issues in law and ethics: Exploring the family veto for organ donation

2019 ◽  
Vol 29 (11) ◽  
pp. 361-367
Author(s):  
Debbie Cay
Keyword(s):  
Organ Donation ◽  
The Body ◽  
Ethical Aspects ◽  
Moral Legitimacy ◽  
Law And Ethics ◽  
The Family ◽  
The Uk ◽  
The Impact

This article explores current issues surrounding the impact of family veto for organ donation in the UK. A critical, reflective analysis of the theoretical, legal and ethical aspects aims to evaluate how the deceased’s explicit wish to donate may be revoked. Under current UK legislation and upon death, money and property are protected; however, the body is not. When investigating personal wishes, interests and decisions must be weighed against the moral legitimacy of the family veto.

scholarly journals The Rule of Threes: three factors that triple the likelihood of families overriding first person consent for organ donation in the UK

2017 ◽  
Vol 19 (2) ◽  
pp. 101-106 ◽  
Author(s):  
James Morgan ◽  
Cathy Hopkinson ◽  
Cara Hudson ◽  
Paul Murphy ◽  
Dale Gardiner ◽  
...  
Keyword(s):  
Organ Donation ◽  
Odds Ratio ◽  
The Body ◽  
Multivariable Logistic Regression Analysis ◽  
Specialist Nurse ◽  
Factors Associated ◽  
Family Approach ◽  
The Family ◽  
The Uk ◽  
Circulatory Death

Between 1 April 2012 and 31 March 2015, 263 of the 2244 families in the UK whose loved ones had registered to donate organs for transplantation after their death on the NHS Organ Donor Register chose to override this decision; an override rate of 11.7%. Multivariable logistic regression analysis was applied to data relating to various aspects of the family approach in order to identify factors associated with such overrides. The factors associated with family overrides were failure to involve the Specialist Nurse for Organ Donation in the family approach (odds ratio 3.0), donation after circulatory death (odds ratio 2.7) and Black, Asian or Minority Ethnicity (odds ratio 2.7). This highlights the need to further engage with these groups in exploring donation as an end of life choice, and suggests that there may be, from the perspective of the family, fundamental differences between donation after brainstem death and circulatory death. It further adds to the body of data linking involvement of the Specialist Nurse for Organ Donation in the family approach to improved UK consent rates.

scholarly journals Causes of lowered family consent rate for organ donation

2020 ◽  
Vol 34 (1) ◽  
pp. S186-S186
Author(s):  
Eunsuk Yu ◽  
Yukyoung Son ◽  
Kyeonghee Han ◽  
Myounghwa Lee ◽  
Yuri Chong ◽  
...  
Keyword(s):  
Organ Donation ◽  
Consent Rate ◽  
Family Consent

Family perspectives on organ and tissue donation for transplantation: A principlist analysis

2017 ◽  
Vol 25 (8) ◽  
pp. 1041-1050
Author(s):  
Marcelo José dos Santos ◽  
Lydia Feito
Keyword(s):  
Organ Donation ◽  
Organ Procurement ◽  
Sao Paulo ◽  
Tissue Donation ◽  
São Paulo ◽  
Ethical Considerations ◽  
Donation Process ◽  
The Family ◽  
Organ Procurement Organizations ◽  
Family Interview

Background: The family interview context is permeated by numerous ethical issues which may generate conflicts and impact on organ donation process. Objective: This study aims to analyze the family interview process with a focus on principlist bioethics. Method: This exploratory, descriptive study uses a qualitative approach. The speeches were collected using the following prompt: “Talk about the family interview for the donation of organs and tissues for transplantation, from the preparation for the interview to the decision of the family to donate or not.” For the treatment of qualitative data, we chose the method of content analysis and categorical thematic analysis. Participants: The study involved 18 nurses who worked in three municipal organ procurement organizations in São Paulo, Brazil, and who conducted family interviews for organ donation. Ethical considerations: The data were collected after approval of the study by the Research Ethics Committee of the School of Nursing of the University of São Paulo. Results: The results were classified into four categories and three subcategories. The categories are the principles adopted by principlist bioethics. Discussion: The principles of autonomy, beneficence, non-maleficence, and justice permeate the family interview and reveal their importance in the organs and tissues donation process for transplantation. Conclusion: The analysis of family interviews for the donation of organs and tissues for transplantation with a focus on principlist bioethics indicates that the process involves many ethical considerations. The elucidation of these aspects contributes to the discussion, training, and improvement of professionals, whether nurses or not, who work in organ procurement organizations and can improve the curriculum of existing training programs for transplant coordinators who pursue ethics in donation and transplantation as their foundation.

Comparison of 1 vs 2 Brain Death Examinations on Time to Death Pronouncement and Organ Donation

Neurology ◽  
2021 ◽  
Vol 96 (10) ◽  
pp. e1453-e1461
Author(s):  
Panayiotis N. Varelas ◽  
Mohammed Rehman ◽  
Chandan Mehta ◽  
Lisa Louchart ◽  
Lonni Schultz ◽  
...  
Keyword(s):  
Brain Death ◽  
Organ Donation ◽  
Brain Function ◽  
Brain Injuries ◽  
Organ Procurement ◽  
Tertiary Hospital ◽  
Consent Rate ◽  
Organ Procurement Organization ◽  
Time To Death ◽  
Elapsed Time

ObjectiveTo fill the evidence gap on the value of a single brain death (SBD) or dual brain death (DBD) examination by providing data on irreversibility of brain function, organ donation consent, and transplantation.MethodsTwelve-year tertiary hospital and organ procurement organization data on brain death (BD) were combined and outcomes, including consent rate for organ donation and organs recovered and transplanted after SBD and DBD, were compared after multiple adjustments for covariates.ResultsA total of 266 patients were declared BD, 122 after SBD and 144 after DBD. Time from event to BD declaration was longer by an average of 20.9 hours after DBD (p = 0.003). Seventy-five (73%) families of patients with SBD and 86 (72%) with DBD consented for organ donation (p = 0.79). The number of BD examinations was not a predictor for consent. No patient regained brain function during the periods following BD. Patients with SBD were more likely to have at least 1 lung transplanted (p = 0.031). The number of organs transplanted was associated with the number of examinations (β coefficient [95% confidence interval] −0.5 [−0.97 to −0.02]; p = 0.044), along with age (for 5-year increase, −0.36 [−0.43 to −0.29]; p < 0.001) and PaO2 level (for 10 mm Hg increase, 0.026 [0.008–0.044]; p = 0.005) and decreased as the elapsed time to BD declaration increased (p = 0.019).ConclusionsA single neurologic examination to determine BD is sufficient in patients with nonanoxic catastrophic brain injuries. A second examination is without additional yield in this group and its delay reduces the number of organs transplanted.

scholarly journals Conditioning Family-life at the Intersection of Migration and Welfare: The Implications for ‘Brexit Families’

2017 ◽  
Vol 46 (4) ◽  
pp. 797-814 ◽  
Author(s):  
MAJELLA KILKEY
Keyword(s):  
Policy Analysis ◽  
Family Life ◽  
Freedom Of Movement ◽  
The Family ◽  
Welfare Systems ◽  
Gender Divisions ◽  
And Gender ◽  
The Uk ◽  
Over Time ◽  
The Eu

AbstractEuropean Freedom of Movement (EFM) was central to the referendum on the UK's membership of the EU. Under a ‘hard’ Brexit scenario, it is expected that EFM between the UK and the EU will cease, raising uncertainties about the rights of existing EU citizens in the UK and those of any future EU migrants. This article is concerned with the prospects for family rights linked to EFM which, I argue, impinge on a range of families – so-called ‘Brexit families’ (Kofman, 2017) – beyond those who are EU-national families living in the UK. The article draws on policy analysis of developments in the conditionality attached to the family rights of non-EU migrants, EU migrants and UK citizens at the intersection of migration and welfare systems since 2010, to identify the potential trajectory of rights post-Brexit. While the findings highlight stratification in family rights between and within those three groups, the pattern is one in which class and gender divisions are prominent and have become more so over time as a result of the particular types of conditionality introduced. I conclude by arguing that, with the cessation of EFM, those axes will also be central in the re-ordering of the rights of ‘Brexit families’.

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