Cohen B, Persijn G G
Eurotransplant International Foundation, Leiden, The Netherlands.
Transplant Proc. 1997 Dec;29(8):3301-2. doi: 10.1016/s0041-1345(97)00919-6.
Presumed consent legislation produces more donors and in particular more organs per donor. In cadaveric donation, the number of elderly donors is increasing, so the quality of organs available is getting poorer. There will be no substantial rise in transplantation unless there is a major breakthrough in the current programs. There will be an increase in the proportion of living (un)related donors and debate about ethics of transplantation. Adverse publicity and debate may affect cadaveric donation and refusal rates.
推定同意立法能产生更多捐赠者，尤其是每位捐赠者能提供更多器官。在尸体捐赠方面，老年捐赠者的数量在增加，因此可用器官的质量越来越差。除非当前项目有重大突破，否则移植数量不会大幅增加。活体（非）亲属捐赠者的比例将会上升，并且会引发关于移植伦理的讨论。负面宣传和讨论可能会影响尸体捐赠及拒绝捐赠的比例。
