{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T10:10:39Z","timestamp":1790503839493,"version":"4.1.0"},"reference-count":12,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2022,7,4]],"date-time":"2022-07-04T00:00:00Z","timestamp":1656892800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontierspartnerships.org"],"crossmark-restriction":true},"short-container-title":["Transpl Int"],"abstract":"<jats:p>Recently England and Netherlands have changed their consent system from Opt In to Opt Out. The reflections shared in this paper give insight and may be helpful for other nation considering likewise. Strong support in England for the change in legislation led to Opt Out being introduced without requiring a vote in parliament in 2019. In Netherlands the bill passed by the smallest possible majority in 2018. Both countries implemented a public campaign to raise awareness. In England registration on the Donor Register is voluntary. Registration was required in Netherlands for all residents 18\u00a0years and older. For those not already on the register, letters were sent by the Dutch Government to ask individuals to register. If people did not respond they would be legally registered as having \u201cno objection.\u201d After implementation of Opt Out in England 42.3% is registered Opt In, 3.6% Opt Out, and 54.1% has no registration. In contrast in Netherlands the whole population is registered with 45% Opt In, 31% Opt Out and 24% \u201cNo Objection.\u201d It is too soon to draw conclusions about the impact on the consent rate and number of resulting organ donors. However, the first signs are positive.<\/jats:p>","DOI":"10.3389\/ti.2022.10466","type":"journal-article","created":{"date-parts":[[2022,7,4]],"date-time":"2022-07-04T11:39:01Z","timestamp":1656934741000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":20,"title":["Changing to an Opt Out System for Organ Donation\u2014Reflections From England and Netherlands"],"prefix":"10.3389","volume":"35","author":[{"given":"N. E.","family":"Jansen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Williment","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B. J. J. M.","family":"Haase-Kromwijk","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"Gardiner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2022,7,4]]},"reference":[{"key":"B1","volume-title":"The Journey Through Intensive Care and the Gift of Organ Donation","year":"2012"},{"key":"B2","volume-title":"Taking Organ Transplantation to 2020","year":"2020"},{"key":"B3","volume-title":"Human Transplantation (Wales) Act 2013","year":"2013"},{"key":"B4","volume-title":"Master Plan Orgaan Donatie: De Vrijblijvendheid Voorbij","year":"2008"},{"key":"B5","volume-title":"Dutch Transplant Foundation, Annual Report 2014","year":"2015"},{"key":"B6","doi-asserted-by":"publisher","first-page":"164","DOI":"10.1016\/j.healthpol.2010.05.019","article-title":"The Potential of Legislation on Organ Donation to Increase the Supply of Donor Organs","volume":"98","author":"Coppen","year":"2010","journal-title":"Health Policy"},{"key":"B7","volume-title":"The Journey Through Intensive Care and the Gift of Organ Donation","year":"2012"},{"key":"B8","doi-asserted-by":"publisher","first-page":"e025159","DOI":"10.1136\/bmjopen-2018-025159","article-title":"Short-Term Impact of Introducing a Soft Opt-Out Organ Donation System in Wales: Before and After Study","volume":"9","author":"Noyes","year":"2019","journal-title":"BMJ Open"},{"key":"B9","doi-asserted-by":"publisher","first-page":"1146","DOI":"10.1111\/anae.15055","article-title":"The Effect on Consent Rates for Deceased Organ Donation in Wales after the Introduction of an Opt\u2010out System","volume":"75","author":"Madden","year":"2020","journal-title":"Anaesthesia"},{"key":"B10","doi-asserted-by":"publisher","first-page":"e709","DOI":"10.1016\/S2468-2667(21)00200-0","article-title":"COVID-19 Pandemic and Worldwide Organ Transplantation: a Population-Based Study","volume":"6","author":"Aubert","year":"2021","journal-title":"Lancet Public Health"},{"key":"B11","doi-asserted-by":"publisher","first-page":"465","DOI":"10.1016\/s0140-6736(20)31692-5","article-title":"Donation and Transplantation Activity in the UK during the COVID-19 Lockdown","volume":"396","author":"Manara","year":"2020","journal-title":"The Lancet"},{"key":"B12","doi-asserted-by":"publisher","first-page":"101304","DOI":"10.1016\/j.trim.2020.101304","article-title":"Immediate Impact on COVID-19 on Transplant Activity in the Netherlands","volume":"61","author":"De Vries","year":"2020","journal-title":"Transpl Immunol"}],"container-title":["Transplant International"],"original-title":[],"link":[{"URL":"https:\/\/www.frontierspartnerships.org\/articles\/10.3389\/ti.2022.10466\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,7,4]],"date-time":"2022-07-04T11:39:06Z","timestamp":1656934746000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontierspartnerships.org\/articles\/10.3389\/ti.2022.10466\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,7,4]]},"references-count":12,"alternative-id":["10.3389\/ti.2022.10466"],"URL":"https:\/\/doi.org\/10.3389\/ti.2022.10466","relation":{},"ISSN":["1432-2277"],"issn-type":[{"value":"1432-2277","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,7,4]]},"article-number":"10466"}}