Evidence map›Paper›PMID 31087205›Full record

ArticleMedicine, health care, and philosophy2020

The ethical obligation of the dead donor rule.

Anne L Dalle Ave, Daniel P Sulmasy, James L Bernat

Abstract read
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Article in Medicine, health care, and philosophy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. cDCDD and Heart Procurement: Challenges from a French Critical Care Perspective.Transplant international : official journal of the European Society for Organ Transplantation · 2025
    Article
  5. Knowledge gaps in heart and lung donation after the circulatory determination of death: Report of a workshop of the National Heart, Lung, and Blood Institute.The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation · 2024
    Article
  6. Article
  7. Article
  8. The intractable problems with brain death and possible solutions.Philosophy, ethics, and humanities in medicine : PEHM · 2021
    Review
  9. Article
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Anne L Dalle AveEthics Unit, University Hospital of Lausanne, Rue Du Bugnon 21, 1011, Lausanne, Switzerland. Anne.Dalle-Ave@chuv.ch.
Daniel P SulmasyKennedy Institute of Ethics, The Departments of Medicine and Philosophy and the Pellegrino Center for Clinical Bioethics, Georgetown University, 3700 O St, NW, Healy 419, Washington, DC, 20057, USA.
James L BernatNeurology Department, Dartmouth-Hitchcock Medical Center, Lebanon, NH, 03756, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The dead donor rule (DDR) originally stated that organ donors must not be killed by and for organ donation. Scholars later added the requirement that vital organs should not be procured before death. Some now argue that the DDR is breached in donation after circulatory determination of death (DCDD) programs. DCDD programs do not breach the original version of the DDR because vital organs are procured only after circulation has ceased permanently as a consequence of withdrawal of life-sustaining therapy. We hold that the original rendition of the DDR banning killing by and for organ donation is the fundamental norm that should be maintained in transplantation ethics. We propose separating the DDR from two other fundamental normative rules: the duties to prevent harm and to obtain informed consent.

Indexed as

DeathMoral ObligationsBrain DeathHumansLife Support SystemsTissue DonorsDonation after circulatory determination of death (DCDD)EthicsThe dead donor rule (DDR)Transplantation

Identifiers

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Registered trials

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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.