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Practice and challenges for organ donation after medical assistance in dying: A scoping review including the results of the first international roundtable in 2021.
Mulder, Johannes; Sonneveld, Hans; Van Raemdonck, Dirk; Downar, James; Wiebe, Kim; Domínguez-Gil, Beatriz; Healey, Andrew; Desschans, Bruno; Neyrinck, Arne; Blanco, Alicia Pérez; van Dusseldorp, Ingeborg; Olthuis, Gert.
Affiliation
  • Mulder J; Anesthesiology/Intensive Care Department, Isala Hospitals, Zwolle, The Netherlands.
  • Sonneveld H; Family Medicine Centre Dalfsen, Zwolle, The Netherlands.
  • Van Raemdonck D; Anesthesiology/Intensive Care Department, Isala Hospitals, Zwolle, The Netherlands.
  • Downar J; Transplant Centre Leuven, University Hospital Leuven, Leuven, Belgium.
  • Wiebe K; Department of Critical Care, University of Ottawa, Ottawa, Canada.
  • Domínguez-Gil B; Shared Health Services, Canada, Winnipeg, Canada.
  • Healey A; Organización Nacional de Trasplantes (ONT), Madrid, Spain.
  • Desschans B; Intensive Care Department, William Osler Health System Hospitals, Brampton, Canada.
  • Neyrinck A; Trillium Gift of Life Donation, Canada.
  • Blanco AP; Transplant Centre Leuven, University Hospital Leuven, Leuven, Belgium.
  • van Dusseldorp I; Transplant Centre Leuven, University Hospital Leuven, Leuven, Belgium.
  • Olthuis G; Organización Nacional de Trasplantes (ONT), Madrid, Spain.
Am J Transplant ; 22(12): 2759-2780, 2022 12.
Article in En | MEDLINE | ID: mdl-36100362
ABSTRACT
The procedure combining medical assistance in dying (MAiD) with donations after circulatory determination of death (DCDD) is known as organ donation after euthanasia (ODE). The first international roundtable on ODE was held during the 2021 WONCA family medicine conference as part of a scoping review. It aimed to document practice and related issues to advise patients, professionals, and policymakers, aiding the development of responsible guidelines and helping to navigate the issues. This was achieved through literature searches and national and international stakeholder meetings. Up to 2021, ODE was performed 286 times in Canada, the Netherlands, Spain, and Belgium, including eight cases of ODE from home (ODEH). MAiD was provided 17,217 times (2020) in the eight countries where ODE is permitted. As of 2021, 837 patients (up to 14% of recipients of DCDD donors) had received organs from ODE. ODE raises some important ethical concerns involving patient autonomy, the link between the request for MAiD and the request to donate organs and the increased burden placed on seriously ill MAiD patients.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Tissue and Organ Procurement / Euthanasia / Organ Transplantation Type of study: Guideline / Systematic_reviews Aspects: Ethics Limits: Humans Language: En Journal: Am J Transplant Journal subject: TRANSPLANTE Year: 2022 Document type: Article Affiliation country: Netherlands

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Tissue and Organ Procurement / Euthanasia / Organ Transplantation Type of study: Guideline / Systematic_reviews Aspects: Ethics Limits: Humans Language: En Journal: Am J Transplant Journal subject: TRANSPLANTE Year: 2022 Document type: Article Affiliation country: Netherlands