The toll of COVID-19 on organ donation and kidney transplantation in Europe: Do legislative defaults matter?
COVID-19
Consent regime
Organ donation
Presumed consent
Transplantation
Journal
Health policy (Amsterdam, Netherlands)
ISSN: 1872-6054
Titre abrégé: Health Policy
Pays: Ireland
ID NLM: 8409431
Informations de publication
Date de publication:
Oct 2023
Oct 2023
Historique:
received:
22
09
2022
revised:
25
07
2023
accepted:
04
08
2023
medline:
18
9
2023
pubmed:
14
8
2023
entrez:
13
8
2023
Statut:
ppublish
Résumé
This study investigates the cascading effects of COVID-19 pandemic on organ donation and transplantation in Europe. We also check whether legislative defaults for organ donation have a role in these outcomes. For this purpose, we used data from 32 European countries, between 2010 and 2021, and estimated pooled OLS regressions. We find that COVID-19 pandemic reduced deceased organ donation rates by 23.4%, deceased kidney transplantation rates by 27.9% and live kidney transplantation rates by 31.1% after accounting for health system capacity indicators. While our study finds that presumed consent legislation under normal circumstances leads to notable benefits in terms of deceased kidney transplantation and organ donation rates, the legislative defaults did not have a significant impact during the pandemic. Additionally, our findings indicate a trade-off between living and deceased transplantation that is influenced by the legislative default.
Identifiants
pubmed: 37573724
pii: S0168-8510(23)00175-6
doi: 10.1016/j.healthpol.2023.104890
pii:
doi:
Types de publication
Journal Article
Langues
eng
Pagination
104890Informations de copyright
Copyright © 2023. Published by Elsevier B.V.
Déclaration de conflit d'intérêts
Declaration of Competing Interest The authors have no relevant financial or non-financial interests to disclose.