ArticleAmerican journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons2018
Harms of unsuccessful donation after circulatory death: An exploratory study.
Article in American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Diagnostic test accuracy for cessation of circulation during death determination: a systematic review.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2023Pooled it
- Education and Ethical Guidance for Organ Donation at the End-of-Life: An Ethical Guidance Statement from the Neurocritical Care Society.Neurocritical care · 2026Review
- Donation Care Work: Family Members' Contributions to Deceased Organ Donation Following Determination of Death Using Circulatory Criteria.Sociology of health & illness · 2026Article
- Scientific advances in the assessment, modification, and generation of transplantable organs for patients with end-stage organ diseases.Lancet (London, England) · 2025Review
- 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
- Deep learning unlocks the true potential of organ donation after circulatory death with accurate prediction of time-to-death.Scientific reports · 2025Article
- Feasibility and Optimization of Donation Advisor: a Decision Support Tool for Deceased Organ Donation and Transplantation.Transplantation direct · 2025Article
- Healthcare Worker Attitudes to Living Donation Prior to Planned Withdrawal of Care.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2024Article
- The circulatory death that saves lives-Intensive care nurses' conceptions of participating during 'donation after circulatory death': A phenomenographic study.Nursing open · 2024Article
- The bereavement experiences of families of potential organ donors: a qualitative longitudinal case study illuminating opportunities for family care.International journal of qualitative studies on health and well-being · 2023Article
- Organ donation in the surgical ICU: an American Association for the Surgery of Trauma Critical Care Committee clinical consensus document.Trauma surgery & acute care open · 2023Article
- Ethical issues of organ donation after circulatory death: Considerations for a successful implementation in Chile.Developing world bioethics · 2022Article
- In vitro and In vivo assessment of a novel organ perfusion stent for successful flow separation in donation after cardiac death.Journal of biomaterials applications · 2022Article
- Predicting Time to Death After Withdrawal of Life-Sustaining Measures Using Vital Sign Variability: Derivation and Validation.Critical care explorations · 2022Article
- Donation after circulatory death and lung transplantation.Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia · 2022Review
- Ethical versus psychological issues in paediatric organ donation: an analysis of UK and Swiss practice.Journal of the Royal Society of Medicine · 2022Article
- The effect on consent rates for deceased organ donation in Wales after the introduction of an opt-out system.Anaesthesia · 2020Article
- Article
- Remapping the organ donation ethical climate: a care ethics consideration.Medicine, health care, and philosophy · 2020Article
- Grief, Stress, Trauma, and Support During the Organ Donation Process.Transplantation direct · 2020Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
While donation after circulatory death (DCD) has expanded options for organ donation, many who wish to donate are still unable to do so. We conducted face-to-face interviews with family members (N = 15) who had direct experience with unsuccessful DCD and 5 focus groups with professionals involved in the donation process. We used qualitative content analysis to characterize the harms of nondonation as perceived by participants. Participants reported a broad spectrum of harms affecting organ recipients, donors, and donor families. Harms included waste of precious life-giving organs and hospital resources, inability to honor the donor's memory and character, and impaired ability for families to make sense of tragedy and cope with loss. Donor families empathized with the initial hope and ultimate despair of potential recipients who must continue their wait on the transplant list. Focus group members reinforced these findings and highlighted the struggle of families to navigate the uncertainty regarding the timing of death during the donation process. While families reported significant harm, many appreciated the donation attempt. These findings highlight the importance of organ donation to donor families and the difficult experiences associated with current processes that could inform development of alternative donation strategies.
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