Should the family have a role in deceased organ donation decision-making? a systematic review of public knowledge and attitudes towards organ procurement policies in Europe
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Authors
Molina-Pérez, AlbertoDelgado, Janet
Frunza, Mihaela
Morgan, Myfanwy
Randhawa, Gurch
Reiger-Van de Wijdeven, Jeantine
Schicktanz, Silke
Schiks, Eline
Wöhlke, Sabine
Rodríguez-Arias, David
Affiliation
Spanish National Research CouncilELPAT-ESOT
University of Granada
Babes-Bolyai University of Cluj
King's College London
University of Bedfordshire
Dutch Transplant Foundation
University Medical Center Göttingen
HAW-Hamburg
Issue Date
2021-11-26Subjects
family overrulefamily decision-making
public views
Europe
health policy
Subject Categories::L431 Health Policy
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Show full item recordAbstract
Goal: To assess public knowledge and attitudes towards the family's role in deceased organ donation in Europe. Methods: A systematic search was conducted in CINHAL, MEDLINE, PAIS Index, Scopus, PsycINFO, and Web of Science on December 15th, 2017. Eligibility criteria were socio-empirical studies conducted in Europe from 2008 to 2017 addressing either knowledge or attitudes by the public towards the consent system, including the involvement of the family in the decision-making process, for post-mortem organ retrieval. Screening and data collection were performed by two or more independent reviewers for each record. Results: Of the 1482 results, 467 studies were assessed in full-text form, and 33 were included in this synthesis. When the deceased has not expressed any preference, a majority of the public support the family's role as a surrogate decision-maker. When the deceased expressly consented, the respondents' answers depend on whether they see themselves as potential donors or as a deceased's next-of-kin. Answers also depend on the relationship between the deceased and the decision-maker(s) within the family, and on their ethnic or cultural background. Conclusions: Public views on the authority of the family in organ donation decision-making requiere further research. A common conceptual framework and validated well-designed questionnaires are needed for future studies. The findings should be considered in the development of Government policy and guidance regarding the role of families in deceased organ donation.Citation
Molina-Pérez A, Delgado J, Frunza M, Morgan M, Randhawa G, de Wijdeven JRV, Schicktanz S, Schiks E, Wöhlke S, Rodríguez-Arias D (2022) 'Should the family have a role in deceased organ donation decision-making? a systematic review of public knowledge and attitudes towards organ procurement policies in Europe', Transplantation Reviews, 36 (1), 100673Publisher
ElsevierJournal
Transplantation ReviewsPubMed ID
34864448Additional Links
https://www.sciencedirect.com/science/article/pii/S0955470X21000793Type
ArticleLanguage
enISSN
0955-470Xae974a485f413a2113503eed53cd6c53
10.1016/j.trre.2021.100673
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