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

Widerspruchslösung bei der Organspende? : Eine Umfrage bei Mitgliedern der Deutschen Gesellschaft für internistische Intensivmedizin und Notfallmedizin.

Journal

Medizinische Klinik, Intensivmedizin und Notfallmedizin
ISSN: 2193-6226
Titre abrégé: Med Klin Intensivmed Notfmed
Pays: Germany
ID NLM: 101575086

Informations de publication

Date de publication:
Apr 2020
Historique:
received: 21 11 2018
accepted: 01 03 2019
revised: 26 02 2019
pubmed: 11 4 2019
medline: 25 9 2020
entrez: 11 4 2019
Statut: ppublish

Résumé

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

Sections du résumé

BACKGROUND 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 METHODS
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 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 CONCLUSIONS
A clear majority of the surveyed members of DGIIN support the concept of presumed consent.

Identifiants

pubmed: 30969352
doi: 10.1007/s00063-019-0579-2
pii: 10.1007/s00063-019-0579-2
doi:

Types de publication

Journal Article

Langues

ger

Sous-ensembles de citation

IM

Pagination

239-244

Références

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pubmed: 11881417
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pubmed: 11260427
Dtsch Arztebl Int. 2018 Jul 9;115(27-28):463-468
pubmed: 30064626
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pubmed: 21210863
Transplant Proc. 2013 May;45(4):1316-7
pubmed: 23726561
J Med Ethics. 2018 May;44(5):314-318
pubmed: 29419421
BMC Med. 2014 Sep 24;12:131
pubmed: 25285666

Auteurs

U Janssens (U)

Klinik für Innere Medizin, St.-Antonius Hospital, Dechant-Deckers-Str. 8, 52249, Eschweiler, Deutschland. uwe.janssens@sah-eschweiler.de.

G Michels (G)

Klinik III für Innere Medizin, Universitätsklinikum Köln, Köln, Deutschland.

C Karagiannidis (C)

Lungenklinik Köln-Merheim, Kliniken der Stadt Köln, Klinikum der Universität Witten/Herdecke, Köln, Deutschland.

R Riessen (R)

Internistische Intensivstation, Universitätsklinikum Tübingen, Tübingen, Deutschland.

H-J Busch (HJ)

Universitäts-Notfallzentrum, Universitätsklinikum Freiburg, Freiburg, Deutschland.

T Welte (T)

Klinik für Pneumologie, Medizinische Hochschule Hannover, Hannover, Deutschland.
Deutsches Zentrum für Lungenforschung (DZL), Gießen, Deutschland.

K Werdan (K)

Klinik und Poliklinik für Innere Medizin III, Universitätsklinikum Halle (Saale), Martin-Luther-Universität Halle-Wittenberg, Halle, Deutschland.

M Buerke (M)

Klinik für Kardiologie, Angiologie und internistische Intensivmedizin, Marien Kliniken, Siegen, Deutschland.

S John (S)

Klinik für Innere Medizin, Universitätsklinik, Paracelsus Medizinische Privatuniversität Nürnberg, Nürnberg, Deutschland.

S Kluge (S)

Klinik für Intensivmedizin, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Deutschland.

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