Supplementary Online Content

Glazier A, Mone T. Opt-in organ donation policy is successful for the United
States. JAMA. doi:10.1001/jama.2019.9187

eTable. International Organ Donation Performance of Developed Donation

Jursidictions Ranked by Donors per Ten Thousand Deaths and Identifying
Underlaying Opt-In vs Opt-Out Laws

This supplementary material has been provided by the authors to give readers
additional information about their work.

© 2019 American Medical Association. All rights reserved.

 International Organ Donation Performance of Developed Donation Jurisdictions
Ranked by Donors per Ten Thousand Deaths & Identifying Underlying Opt-In vs Opt-Out Laws Blue = US
Opt-IN, Green = International Opt-IN, Brown = International Opt-OUT

Death Rate/ Donors/ Ten DPD Std

Donation Legal Donation
W 1000 Donors Deaths Thousand Devs from
Jurisdiction Law
Population Deaths (DPD) Mean
1 Delaware 2018 Opt-IN 9.1 73 8,728 83.6 3.96
2 Alaska 2018 Opt-IN 5.8 31 4,325 71.7 3.05
3 Nevada 2018 Opt-IN 7.9 153 23,726 64.5 2.51
4 Utah 2018 Opt-IN 5.8 99 17,948 55.2 1.80
5 Dist of Col. 2018 Opt-IN 7.2 26 5,029 51.7 1.54
6 Arizona 2018 Opt-IN 8.0 277 55,791 49.6 1.39
7 Spain 2018 Opt-OUT 9.2 2,241 453,845 49.4 1.36
8 Missouri 2018 Opt-IN 9.8 296 60,168 49.2 1.35
9 Oklahoma 2018 Opt-IN 10.1 189 39,621 47.7 1.24
10 Pennsylvania 2018 Opt-IN 10.4 621 132,632 46.8 1.17
11 Texas 2018 Opt-IN 6.9 902 195,418 46.2 1.12
12 Iceland 2018 Opt-IN 6.5 10 2,178 45.9 1.10
13 Illinois 2018 Opt-IN 8.3 486 106,385 45.7 1.09
14 Maryland 2018 Opt-IN 7.9 208 47,605 43.7 0.93
15 Kansas 2018 Opt-IN 9.2 116 26,677 43.5 0.92
16 Louisiana 2018 Opt-IN 9.4 190 43,842 43.3 0.91
17 Tennessee 2018 Opt-IN 10.1 287 67,738 42.4 0.83
18 Wisconsin 2018 Opt-IN 8.9 210 51,477 40.8 0.72
19 South Carolina 2018 Opt-IN 9.6 192 48,431 39.6 0.63
20 Hawaii 2018 Opt-IN 7.7 43 11,026 39.0 0.58
21 California 2018 Opt-IN 6.6 1,016 261,814 38.8 0.56
22 Idaho 2018 Opt-IN 7.9 52 13,515 38.5 0.54
23 Michigan 2018 Opt-IN 9.6 364 95,516 38.1 0.51
24 USA 2018 Opt-IN 8.2 10,721 2,813,503 38.1 0.51
25 Washington 2018 Opt-IN 7.6 213 56,389 37.8 0.49
26 Nebraska 2018 Opt-IN 8.8 63 16,950 37.2 0.44
27 Georgia 2018 Opt-IN 7.8 300 81,617 36.8 0.41
28 Wyoming 2018 Opt-IN 8.2 17 4,720 36.0 0.35
29 Ohio 2018 Opt-IN 10.2 426 118,654 35.9 0.35
30 Puerto Rico 2018 Opt-IN 8.1 96 26,976 35.6 0.32
31 Florida 2018 Opt-IN 9.5 706 198,488 35.6 0.32
32 Virginia 2018 Opt-IN 7.8 232 66,261 35.0 0.28
33 Indiana 2018 Opt-IN 9.5 219 63,163 34.7 0.25
34 North Carolina 2018 Opt-IN 8.9 312 91,173 34.2 0.22
35 Massachusetts 2018 Opt-IN 8.5 199 58,365 34.1 0.21
36 Alabama 2018 Opt-IN 10.7 177 52,080 34.0 0.20
37 Belgium 2018 Opt-OUT 9.7 381 112,239 33.9 0.20
38 Malta 2017 Opt-OUT 7.9 12 3,547 33.8 0.19
39 Montana 2018 Opt-IN 9.6 34 10,106 33.6 0.17
40 Minnesota 2018 Opt-IN 7.8 143 43,484 32.9 0.12
41 New Mexico 2018 Opt-IN 8.5 58 17,710 32.7 0.11
42 Kentucky 2018 Opt-IN 10.5 152 46,869 32.4 0.08
43 Australia 2018 Opt-IN 7.3 554 171,331 32.3 0.08
44 New Jersey 2018 Opt-IN 8.1 234 72,660 32.2 0.07
45 Mississippi 2018 Opt-IN 10.6 102 31,693 32.2 0.06
46 Croatia 2018 Opt-OUT 12.4 169 52,948 31.9 0.04
47 Connecticut 2018 Opt-IN 8.5 96 30,509 31.5 0.01
48 New York 2018 Opt-IN 7.8 474 154,048 30.8 -0.04
49 France 2017 Opt-OUT 9.4 1,933 633,231 30.5 -0.06
50 Iowa 2018 Opt-IN 9.5 86 29,808 28.9 -0.19
51 Portugal 2018 Opt-OUT 11.1 345 120,324 28.7 -0.20
52 West Virginia Opt-IN 12.3 64 22,406 28.6 -0.21
53 Maine 2018 Opt-IN 10.9 41 14,552 28.2 -0.24
54 New Hampshire 2018 Opt-IN 9.0 34 12,095 28.1 -0.24
55 Austria 2018 Opt-OUT 9.6 224 84,413 26.5 -0.36
56 UK 2018 Opt-IN 9.4 1,619 611,987 26.5 -0.37
57 Israel 2018 Opt-IN 5.2 113 43,810 25.8 -0.42
58 Italy 2018 Opt-OUT 10.5 1,681 653,594 25.7 -0.43
59 Colorado Opt-IN 6.7 96 37,374 25.7 -0.43
60 Canada 2017 Opt-IN 8.8 802 315,762 25.4 -0.45
61 Slovenia 2018 Opt-OUT 9.9 51 20,810 24.5 -0.52
62 Arkansas Opt-IN 10.6 78 31,890 24.5 -0.52
63 Brasil 2017 Opt-IN 6.7 3,415 1,399,275 24.4 -0.52
64 South Dakota Opt-IN 9.0 19 7,835 24.2 -0.54
65 Ireland 2018 Opt-IN 6.6 81 33,449 24.2 -0.54
66 Norway 2018 Opt-IN 8.0 104 42,984 24.2 -0.54
67 Oregon 2018 Opt-IN 8.9 87 36,715 23.7 -0.58
68 Czech 2017 Opt-OUT 10.5 259 112,203 23.1 -0.62
69 Luxembourg Opt-OUT 7.3 10 4,431 22.6 -0.66
70 Vermont 2018 Opt-IN 9.5 13 5,900 22.0 -0.70
71 Estonia 2018 Opt-OUT 12.7 34 15,799 21.5 -0.74
72 Uruguay 2017 Opt-IN 9.4 67 31,669 21.2 -0.77
73 New Zealand 2017 Opt-IN 7.6 73 34,550 21.1 -0.77
74 Iran 2017 Opt-IN 5.3 926 440,033 21.0 -0.78
75 Finland 2018 Opt-OUT 10.1 117 55,924 20.9 -0.79
76 Argentina 2018 Opt-OUT 7.5 701 335,205 20.9 -0.79
77 Switzerland 2018 Opt-IN 8.4 145 69,661 20.8 -0.80
78 Sweden 2018 Opt-IN 9.4 181 94,385 19.2 -0.92
79 Belarus 2018 Opt-OUT 13.2 238 125,770 18.9 -0.94
80 Denmark 2018 Opt-IN 9.3 100 54,033 18.5 -0.97
81 North Dakota Opt-IN 8.2 11 6,191 17.8 -1.03
82 Netherland 2017 Opt-IN 9.0 258 154,359 16.7 -1.11
83 Chile 2017 Opt-IN 6.3 173 112,928 15.3 -1.21
84 Rhode Island Opt-IN 9.6 15 10,176 14.7 -1.26
85 Slovak 2018 Opt-OUT 9.9 78 53,906 14.5 -1.28
86 Cuba 2017 Opt-IN 8.9 142 98,932 14.4 -1.29
87 South Korea 2018 Opt-IN 6.3 449 323,933 13.9 -1.32
88 Hungary 2018 Opt-IN 12.8 168 125,773 13.4 -1.36
89 Poland 2018 Opt-IN 10.5 498 403,421 12.3 -1.44
90 Cyprus 2017 Opt-IN 6.8 10 8,412 11.9 -1.47
91 Lithuania 2018 Opt-IN 14.8 46 41,336 11.1 -1.53
92 Germany 2018 Opt-IN 11.8 955 949,404 10.1 -1.61
93 Latvia 2017 Opt-OUT 14.5 24 27,898 8.6 -1.72

Mean 31.3
Median 31.5
Data Sources: Std. Dev. 13.2
Deaths & Population: https://www.cia.gov/library/publications/the-world-factbook/ OPT-IN Mean 32.6
US Organ Donors 2018: https://optn.transplant.hrsa.gov/data/view-data-reports/ OPT-OUT Mean 25.6
International Organ Donors 2017 and 2018, as noted: http://www.irodat.org/?p=database Opt-IN vs Opt-OUT 127%

© 2019 American Medical Association. All rights reserved.