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0% in the current system to 61.5% in the opt-out system. Although the achievement of positive autonomy increased from 59.5% in the current system to 74.6% in the opt-out system, the achievement of negative autonomy decreased from 52.7% in the current system to 39.2% in the opt-out system. An opt-out system can increase the number of organ donors; however, achievement of negative autonomy can decrease. An opt-out system can increase the number of organ donors; however, achievement of negative autonomy can decrease. Biliary complications
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