Table 3.

Role of next-of-kin in explicit consent nations^a

Nation	Next-of-kin’s authorization is required if deceased’s wishes are unknown	Next-of-kin’s consent is required even if deceased’s wishes are documented
Australia	Yes	Yes
Brazil	Yes	Yes
Canada	Yes	Yes
Cuba	Yes	Yes
Denmark	Yes	Yes
Estonia	Yes	Yes
Germany	Yes	Yes
Iceland	Yes	Yes
India	Yes	Yes
Ireland	Yes	Yes
Israel	Yes	Yes
Japan	Yes	Yes
Kuwait	Yes	Yes
Lithuania	Yes	Yes
Malaysia	Yes	Yes
Malta	Yes	Yes
Mexico	Yes	Yes
Netherlands	Yes	Nob
New Zealand	Yes	Yes
Philippines	Yes	Yes
Romania	Yes	Noc
Saudi Arabia	Yes	Yes
South Africa	Yes	Yes
South Korea	Yes	Yes
Switzerland	Yes	Yes
Thailand	Yes	Yes
UK	Yes	Nob
USA	Yes	Nod
Venezuela	Yes	Yes

^aIn accordance with the lack of assumption of consent in explicit consent, all nations with explicit consent systems in this study approached the next-of-kin about organ donation (whether the deceased’s wishes to be a donor were known or unknown).

^bA strong objection by the next-of-kin donation will stop procurement to avoid causing a major negative impact on the next-of-kin.

^cPermission is not formally asked or required, an objection will be respected.

^dStates with first person consent make the deceased’s registered wishes paramount and procurement can occur with consent from the next-of-kin. However next-of-kin are required for a medical and social history of the potential donor before procurement can occur [M. Devenny (personal communication)].