42 percent included in Donor Register

© CBS / Nikki van Toorn
On 2 January 2019, 42 percent of the Dutch population aged 12 years and over were registered in the Donor Register. These are 6.4 million persons, over 57 thousand more than in April 2018. Of this group, 31 percent explicitly withheld consent for donation, up from 30 percent one year previously. This is evident from figures released by Statistics Netherlands (CBS) and the Donor Register.

A new Organ Donation Act will be implemented on 1 July 2020. This act stipulates that all persons aged 18 and over and registered with a Dutch municipality shall be included in the Donor Register and considered to have ‘no objection’ to organ donation unless they have actively registered their preference. At the beginning of 2019, 54 percent of the adult population had not registered such a decision.

Number of persons registered in the Donor Register (x million aged 12 yrs and over)
GeregistreerdColumn1
20145.8
20155.8
20165.9
20176.1
20186.3
20196.4

General consent

The number of persons aged 12 years and up who record their consent for – general or specific – donation is growing each year, although in 2018 this increase was less marked than in previous years. The number of persons refusing consent has risen since 2016, from 1.56 million in 2016 to 1.90 million persons in 2018 and 1.95 million in 2019.

In 2019, over half of all registered persons (58 percent) are donors who have given either general or specific consent. Aside from them, a share of 31 percent deny consent for organ donation while another 11 percent leave the decision to surviving relatives or a designated person.
Anyone registered may amend their own record in the Donor Register at any time. In the period April 2018 to 2 January 2019, over 8 thousand people changed their preference from ‘consent’ to ‘no consent’. The majority among those who changed their preference were 50 to 69 years old. Three thousand persons have made the reverse decision and changed the record from ‘no consent’ to ‘consent’.

Decisions by people registered in the Donor Register (%)
YearGeneral consentSpecific consentRelatives decideDesignated person decidesNo consent
201448.511.910.41.827.4
201548.612.210.31.827.1
201648.912.510.31.726.5
201747.712.4101.728.2
201846.212.39.81.630.1
201945.812.39.81.630.6

More women than men registered

The Donor Register includes more women than men: in 2019, 45 versus 39 procent. More women (27 percent) than men (22 percent) give general or specific consent for organ donation. Explicit denial has been recorded by 13 percent of women and 12 percent of men. This gender gap is found in all age groups except for the group aged 80 and over.

Registrations in the Donor Register, 2019 (%)
age  General or specific consentNo consent
12 to 17 yrsMen 0.40.5
Women0.70.5
18 to 19 yrsMen 7.86.7
Women14.37.3
20 to 29 yrsMen 18.69.6
Women30.211
30 to 39 yrsMen 22.413.9
Women31.914
40 to 49 yrsMen 25.513.6
Women3313
50 to 59 yrsMen 27.713.3
Women32.413.6
60 to 69 yrsMen 28.515.2
Women30.216.9
70 to 79 yrsMen 23.915.4
Women23.916.9
80 yrs and overMen 19.319.6
Women16.722.5

Donor registration varies across municipalities

Regional differences are seen in the share of people giving consent for - general or specific - organ donation. In 21 municipalities, over 30 percent of the population aged 12 years and over are registered as donors. The top 3 consists of Goirle (34 percent), Hilvarenbeek and Oost-Gelre (33 percent). Relatively many inhabitants in the province of Noord Brabant are registered, in addition to the municipalities of Nijmegen and Horst aan de Maas. The municipalities with the lowest shares of registered donors are Urk (9 percent), Staphorst (13 percent) and Neder-Betuwe (14 percent).
In Neder-Betuwe, 19 percent deny consent, followed by Gorinchem, Ridderkerk and Tholen with 18 percent. The lowest percentage of denials (8 percent) is found in Tubbergen, Reusel-De Mierden and Dinkelland.

Registered as donor, general or specific consent, 2019* (%)
MunicipalityGeneral or specific consent
Appingedam22
Bedum27
Ten Boer26
Delfzijl20
Groningen28
Grootegast21
Haren29
Leek25
Loppersum25
Marum24
Almere19
Stadskanaal19
Veendam22
Zeewolde27
Winsum27
Zuidhorn26
Dongeradeel22
Achtkarspelen19
Ameland24
Harlingen23
Heerenveen24
Kollumerland en Nieuwkruisland19
Leeuwarden26
Ooststellingwerf24
Opsterland26
Schiermonnikoog25
Smallingerland24
Terschelling28
Vlieland23
Weststellingwerf24
Assen26
Coevorden25
Emmen23
Hoogeveen22
Meppel27
Almelo22
Borne29
Dalfsen25
Deventer28
Enschede24
Haaksbergen27
Hardenberg23
Hellendoorn28
Hengelo26
Kampen20
Losser26
Noordoostpolder24
Oldenzaal28
Ommen24
Raalte29
Staphorst13
Tubbergen25
Urk9
Wierden23
Zwolle29
Aalten29
Apeldoorn24
Arnhem25
Barneveld18
Beuningen28
Brummen25
Buren22
Culemborg24
Doesburg25
Doetinchem28
Druten27
Duiven27
Ede22
Elburg18
Epe23
Ermelo23
Geldermalsen22
Harderwijk24
Hattem25
Heerde21
Heumen30
Lochem29
Maasdriel24
Nijkerk22
Nijmegen31
Oldebroek16
Putten19
Renkum28
Rheden26
Rozendaal31
Scherpenzeel20
Tiel21
Voorst27
Wageningen30
Westervoort27
Winterswijk27
Wijchen29
Zaltbommel21
Zevenaar28
Zutphen27
Nunspeet17
Dronten26
Neerijnen19
Amersfoort27
Baarn25
De Bilt26
Bunnik30
Bunschoten21
Eemnes27
Houten28
Leusden28
Lopik21
Montfoort26
Renswoude17
Rhenen20
Soest26
Utrecht30
Veenendaal20
Woudenberg20
Wijk bij Duurstede27
IJsselstein25
Zeist24
Nieuwegein23
Aalsmeer23
Alkmaar28
Amstelveen21
Amsterdam21
Beemster27
Bergen (NH.)27
Beverwijk24
Blaricum24
Bloemendaal26
Castricum31
Diemen20
Edam-Volendam24
Enkhuizen28
Haarlem27
Haarlemmerliede en Spaarnwoude25
Haarlemmermeer23
Heemskerk26
Heemstede27
Heerhugowaard28
Heiloo30
Den Helder25
Hilversum25
Hoorn26
Huizen24
Landsmeer26
Langedijk31
Laren23
Medemblik27
Oostzaan26
Opmeer30
Ouder-Amstel25
Purmerend23
Schagen30
Texel28
Uitgeest32
Uithoorn24
Velsen24
Weesp26
Zandvoort22
Zaanstad22
Alblasserdam17
Alphen aan den Rijn26
Barendrecht21
Drechterland28
Brielle27
Capelle aan den IJssel18
Delft25
Dordrecht22
Gorinchem24
Gouda24
's-Gravenhage17
Hardinxveld-Giessendam19
Hellevoetsluis24
Hendrik-Ido-Ambacht21
Stede Broec28
Hillegom27
Katwijk20
Krimpen aan den IJssel19
Leerdam17
Leiden27
Leiderdorp27
Lisse27
Maassluis23
Nieuwkoop27
Noordwijk25
Noordwijkerhout27
Oegstgeest28
Oud-Beijerland24
Binnenmaas24
Korendijk20
Oudewater28
Papendrecht24
Ridderkerk21
Rotterdam17
Rijswijk24
Schiedam17
Sliedrecht20
Cromstrijen23
Albrandswaard21
Westvoorne25
Strijen25
Vianen23
Vlaardingen20
Voorschoten27
Waddinxveen23
Wassenaar21
Woerden27
Zoetermeer24
Zoeterwoude28
Zwijndrecht22
Borsele25
Goes27
West Maas en Waal28
Hulst25
Kapelle27
Middelburg25
Giessenlanden24
Reimerswaal18
Zederik21
Terneuzen24
Tholen18
Veere27
Vlissingen26
Lingewaal22
De Ronde Venen26
Tytsjerksteradiel23
Aalburg18
Asten30
Baarle-Nassau28
Bergen op Zoom27
Best29
Boekel27
Boxmeer30
Boxtel29
Breda29
Deurne28
Pekela18
Dongen31
Eersel32
Eindhoven25
Etten-Leur27
Geertruidenberg28
Gilze en Rijen31
Goirle34
Grave30
Haaren29
Helmond25
's-Hertogenbosch29
Heusden28
Hilvarenbeek33
Loon op Zand30
Mill en Sint Hubert27
Nuenen, Gerwen en Nederwetten31
Oirschot31
Oisterwijk30
Oosterhout28
Oss26
Rucphen24
Sint-Michielsgestel32
Someren30
Son en Breugel30
Steenbergen26
Waterland26
Tilburg27
Uden26
Valkenswaard30
Veldhoven30
Vught31
Waalre31
Waalwijk25
Werkendam21
Woensdrecht27
Woudrichem23
Zundert27
Wormerland28
Onderbanken23
Landgraaf22
Beek27
Beesel26
Bergen (L.)26
Brunssum23
Gennep27
Heerlen22
Kerkrade20
Maastricht24
Meerssen26
Mook en Middelaar30
Nederweert26
Nuth26
Roermond23
Schinnen27
Simpelveld22
Stein26
Vaals17
Venlo25
Venray28
Voerendaal26
Weert25
Valkenburg aan de Geul26
Lelystad20
Horst aan de Maas31
Oude IJsselstreek27
Teylingen29
Utrechtse Heuvelrug25
Oost Gelre33
Koggenland30
Lansingerland26
Leudal26
Maasgouw25
Eemsmond23
Gemert-Bakel28
Halderberge27
Heeze-Leende31
Laarbeek30
De Marne23
Reusel-De Mierden32
Roerdalen23
Roosendaal27
Schouwen-Duiveland25
Aa en Hunze29
Borger-Odoorn25
Cuijk28
Landerd30
De Wolden27
Noord-Beveland25
Wijdemeren25
Noordenveld27
Twenterand19
Westerveld26
Sint Anthonis28
Lingewaard28
Cranendonck28
Steenwijkerland24
Moerdijk27
Echt-Susteren24
Sluis24
Drimmelen29
Bernheze27
Ferwerderadiel23
Alphen-Chaam31
Bergeijk29
Bladel31
Gulpen-Wittem23
Tynaarlo29
Midden-Drenthe25
Overbetuwe28
Hof van Twente27
Neder-Betuwe14
Rijssen-Holten19
Geldrop-Mierlo29
Olst-Wijhe29
Dinkelland26
Westland25
Midden-Delfland30
Berkelland28
Bronckhorst27
Sittard-Geleen26
Kaag en Braassem29
Dantumadiel18
Zuidplas23
Peel en Maas30
Oldambt21
Zwartewaterland16
S£dwest-Fryslƒn26
Bodegraven-Reeuwijk24
Eijsden-Margraten27
Stichtse Vecht25
Hollands Kroon27
Leidschendam-Voorburg25
Goeree-Overflakkee19
Pijnacker-Nootdorp26
Molenwaard17
Nissewaard22
Krimpenerwaard23
De Fryske Marren27
Gooise Meren27
Berg en Dal28
Meierijstad28
Waadhoeke26
Westerwolde21
Midden-Groningen21
Montferland25
* Provisional figures

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