U Janssens1, G Michels2, C Karagiannidis3, R Riessen4, H-J Busch5, T Welte6,7, K Werdan8, M Buerke9, S John10, S Kluge11. 1. Klinik für Innere Medizin, St.-Antonius Hospital, Dechant-Deckers-Str. 8, 52249, Eschweiler, Deutschland. uwe.janssens@sah-eschweiler.de. 2. Klinik III für Innere Medizin, Universitätsklinikum Köln, Köln, Deutschland. 3. Lungenklinik Köln-Merheim, Kliniken der Stadt Köln, Klinikum der Universität Witten/Herdecke, Köln, Deutschland. 4. Internistische Intensivstation, Universitätsklinikum Tübingen, Tübingen, Deutschland. 5. Universitäts-Notfallzentrum, Universitätsklinikum Freiburg, Freiburg, Deutschland. 6. Klinik für Pneumologie, Medizinische Hochschule Hannover, Hannover, Deutschland. 7. Deutsches Zentrum für Lungenforschung (DZL), Gießen, Deutschland. 8. Klinik und Poliklinik für Innere Medizin III, Universitätsklinikum Halle (Saale), Martin-Luther-Universität Halle-Wittenberg, Halle, Deutschland. 9. Klinik für Kardiologie, Angiologie und internistische Intensivmedizin, Marien Kliniken, Siegen, Deutschland. 10. Klinik für Innere Medizin, Universitätsklinik, Paracelsus Medizinische Privatuniversität Nürnberg, Nürnberg, Deutschland. 11. Klinik für Intensivmedizin, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Deutschland.
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.
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.
Entities:
Keywords:
Critical care; Organ donation; Organ shortage; Presumed consent; Transplantation
Authors: Rafael Matesanz; Beatriz Domínguez-Gil; Elisabeth Coll; Gloria de la Rosa; Rosario Marazuela Journal: Transpl Int Date: 2011-01-06 Impact factor: 3.782
Authors: Kevin Schulte; Christoph Borzikowsky; Axel Rahmel; Felix Kolibay; Nina Polze; Patrick Fränkel; Susanne Mikle; Benedikt Alders; Ulrich Kunzendorf; Thorsten Feldkamp Journal: Dtsch Arztebl Int Date: 2018-07-09 Impact factor: 5.594