GuidelineCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne2006
National recommendations for donation after cardiocirculatory death in Canada: Donation after cardiocirculatory death in Canada.
Guideline in CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 80 papers, 7 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
80 citing papers in PubMed, 7 syntheses or guidelines pooled it, 1 citations in OpenAlex.
- A brain-based definition of death and criteria for its determination after arrest of circulation or neurologic function in Canada: a 2023 clinical practice guideline.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2023Guideline
- Brain-based arterial pulse pressure threshold for death determination: a systematic review.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2023Pooled it
- Diagnostic test accuracy for cessation of circulation during death determination: a systematic review.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2023Pooled it
- Autoresuscitation after circulatory arrest: an updated systematic review.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2023Pooled it
- Worldwide management of donors after neurological death: a systematic review and narrative synthesis of guidelines.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2020Pooled it
- Portable Normothermic Cardiac Perfusion System in Donation After Cardiocirculatory Death: A Health Technology Assessment.Ontario health technology assessment series · 2020Pooled it
- Canadian Guidelines for Controlled Pediatric Donation After Circulatory Determination of Death-Summary Report.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2017Guideline
- Characterizing the physiology of circulatory arrest in humans.Nature medicine · 2025Observational
- An Integrative Review on Exploring Organ Donation After Death by Circulatory Criteria in Canada.Progress in transplantation (Aliso Viejo, Calif.) · 2025Review
- Donation Physician Specialists and Missed Organ Donation Opportunities.JAMA network open · 2025Article
- Organ donation after death determination by circulatory criteria: family members' experiences with withdrawal of life-sustaining measures in Canadian intensive care units.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2025Article
- The Lazarus Phenomenon - A Remarkable Case of Spontaneous Recovery from Cardiac Arrest in a Do-Not-Resuscitate Patient.European journal of case reports in internal medicine · 2025Article
- Barriers and Opportunities to Increase Utilization of Donor Kidneys After Death Determined by Circulatory Criteria Among Children and Adults: A Narrative Review.Canadian journal of kidney health and disease · 2025Review
- High-Functioning Deceased Donor Kidney Transplant System Characteristics: The British Columbia Experience With an Opt-In System.Kidney medicine · 2024Article
- The History of Donation after Circulatory Death (DCD): Backlash and Boomerang.Neurocritical care · 2024Article
- Organ donation after medical assistance in dying: a descriptive study from 2018 to 2022 in Quebec.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2024Article
- Donor Heart Preservation: Current Knowledge and the New Era of Machine Perfusion.International journal of molecular sciences · 2023Review
- Organ Donation Organization Architecture: Recommendations From an International Consensus Forum.Transplantation direct · 2023Article
- Knowledge gaps in the definition and determination of death.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2023Article
- Implications of the updated Canadian Death Determination Guidelines for organ donation interventions that restore circulation after determination of death by circulatory criteria.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2023Article
20 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
18 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
These recommendations are the result of a national, multidisciplinary, year-long process to discuss whether and how to proceed with organ donation after cardiocirculatory death (DCD) in Canada. A national forum was held in February 2005 to discuss and develop recommendations on the principles, procedures and practice related to DCD, including ethical and legal considerations. At the forum's conclusion, a strong majority of participants supported proceeding with DCD programs in Canada. The forum also recognized the need to formulate and emphasize core values to guide the development of programs and protocols based on the medical, ethical and legal framework established at this meeting. Although end-of-life care should routinely include the opportunity to donate organs and tissues, the duty of care toward dying patients and their families remains the dominant priority of health care teams. The complexity and profound implications of death are recognized and should be respected, along with differing personal, ethnocultural and religious perspectives on death and donation. Decisions around withdrawal of life-sustaining therapies, management of the dying process and the determination of death by cardiocirculatory criteria should be separate from and independent of donation and transplant processes. The recommendations in this report are intended to guide individual programs, regional health authorities and jurisdictions in the development of DCD protocols. Programs will develop based on local leadership and advance planning that includes education and engagement of stakeholders, mechanisms to assure safety and quality and public information. We recommend that programs begin with controlled DCD within the intensive care unit where (after a consensual decision to withdraw life-sustaining therapy) death is anticipated, but has not yet occurred, and unhurried consent discussions can be held. Uncontrolled donation (where death has occurred after unanticipated cardiac arrest) should only be considered after a controlled DCD program is well established. Although we recommend that programs commence with kidney donation, regional transplant expertise may guide the inclusion of other organs. The impact of DCD, including pre-and post-mortem interventions, on donor family experiences, organ availability, graft function and recipient survival should be carefully documented and studied.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.