Intended for healthcare professionals

Rapid response to:

Research

Impact of presumed consent for organ donation on donation rates: a systematic review

BMJ 2009; 338 doi: https://doi.org/10.1136/bmj.a3162 (Published 15 January 2009) Cite this as: BMJ 2009;338:a3162

Rapid Response:

Trust is important

The analysis is very teaching.

I would like to add another story - from Russia. After the fall of
the USSR transplantologists had a great chance to influence the new
legislation, and it was based on the presumed consent for donation. The
law is so straightforward, that even not describe how one may opt out.

The life brought new balance: later the new law was enacted - on
burial practice - and patients as well as relatives received back their
right of decision.

At last, series of scandals of malpractice with donor death
declaration and taking the organs (most not proved in court) brought
Russia transplantology almost to the nonexistence.

Of course, the poverty of the system is important, but absence of the
public control eroded the trust of citizens - despite the 'nice' law.

Competing interests:
None declared

Competing interests: No competing interests

12 March 2009
Vasiliy V Vlassov
Professor
Moscow Medical Academy, Trubetskaya 8, Moscow, 101000