{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,17]],"date-time":"2025-09-17T15:26:05Z","timestamp":1758122765177},"reference-count":37,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,10,16]],"date-time":"2021-10-16T00:00:00Z","timestamp":1634342400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,10,16]],"date-time":"2021-10-16T00:00:00Z","timestamp":1634342400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Faculdade de Ci\u00eancias e Tecnologia, I.P, within CINTESIS, R&D Unit","award":["UIDB\/4255\/2020"],"award-info":[{"award-number":["UIDB\/4255\/2020"]}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Med Ethics"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Organ transplantation represents the most effective and acceptable therapy for end-stage organ failure. However, its frequent practice often leads to a shortage of organs worldwide. To solve this dilemma, some countries, such as Portugal, have switched from an opt-in to an opt-out system, which has raised concerns about respect for individual autonomy. We aimed to evaluate whether young university students are aware of this opt-out system so that they can make informed, autonomous and conscious decisions, as well as to identify the factors that determine a positive attitude toward post-mortem organ donation.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>An observational, cross-sectional study was developed and a questionnaire was administered to first-year students from six faculties of the University of Porto.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Of the 841 participants, 60% were unaware that Portugal had adopted an opt-out system. Among the informed individuals, their main sources of information included social media, internet, and family. Furthermore, only 48% of all participants agreed with the current opt-out system. Female sex (<jats:italic>p<\/jats:italic>\u2009=\u20090.049; OR 1.393), knowledge of the law (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001; OR 4.749) and family being the primary source of information (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001; OR 2.855) were independent factors associated with a positive attitude toward post-mortem organ donation law.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>There is a significant lack of knowledge among young university students regarding the presumed post-mortem organ donation law and how it works. Female sex, having family as a primary source of information and being aware of the presumed post-mortem organ donation law are the strongest independent factors that determine a positive attitude toward the opt-out system.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12910-021-00707-2","type":"journal-article","created":{"date-parts":[[2021,10,16]],"date-time":"2021-10-16T18:22:07Z","timestamp":1634408527000},"update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Presumed post-mortem donors: the degree of information among university students"],"prefix":"10.1186","volume":"22","author":[{"given":"Rita","family":"da Silva Clemente Pinho","sequence":"first","affiliation":[]},{"given":"Cristina Maria","family":"Nogueira da Costa Santos","sequence":"additional","affiliation":[]},{"given":"Ivone Maria","family":"Resende Figueiredo Duarte","sequence":"additional","affiliation":[]}],"member":"297","published-online":{"date-parts":[[2021,10,16]]},"reference":[{"issue":"10","key":"707_CR1","doi-asserted-by":"publisher","first-page":"2953","DOI":"10.1016\/j.transproceed.2018.08.004","volume":"50","author":"Y Uzuntarla","year":"2018","unstructured":"Uzuntarla Y. 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Students were informed about the nature, procedures and objectives of the study. They were also informed about the voluntary and confidential features of the study. The possibility of withdrawal at any stage of the investigation was highlighted. Informed and written consent was then requested from the participants (none of whom refused to participate).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"139"}}