Evidence map›Paper›PMID 31898778›Full record

ArticleCanadian journal of anaesthesia = Journal canadien d'anesthesie2020

Attitudes of healthcare providers towards cardiac donation after circulatory determination of death: a Canadian nation-wide survey.

Kimia Honarmand, Jeanna Parsons Leigh, John Basmaji, Claudio M Martin, Robert Sibbald, Dave Nagpal, Vince Lau, Fran Priestap, Sabe De, Andrew Healey and 4 more

Abstract read
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In one paragraph

Article in Canadian journal of anaesthesia = Journal canadien d'anesthesie, 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. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Potassium chloride for medical assistance in dying followed by organ donation.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2020
    Article
  10. Potassium chloride for medical assistance in dying followed by organ donation.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2020
    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

14 authors.

Kimia HonarmandDepartment of Medicine, Western University, London Health Sciences Centre, London, ON, Canada. kimia.honarmand@medportal.ca.ORCID http://orcid.org/0000-0002-7583-1445
Jeanna Parsons LeighDepartment of Epidemiology and Biostatistics, Western University, London, ON, Canada.
John BasmajiDepartment of Medicine, Western University, London Health Sciences Centre, London, ON, Canada.
Claudio M MartinDepartment of Medicine, Western University, London Health Sciences Centre, London, ON, Canada.
Robert SibbaldDepartment of Family Medicine, Western University, London, ON, Canada.
Dave NagpalDepartment of Medicine, Western University, London Health Sciences Centre, London, ON, Canada.
Vince LauDepartment of Medicine, Western University, London Health Sciences Centre, London, ON, Canada.
Fran PriestapDepartment of Medicine, Western University, London Health Sciences Centre, London, ON, Canada.
Sabe DeDivision of Cardiology, Western University, London, ON, Canada.
Andrew HealeyTrillium Gift of Life Network, Toronto, ON, Canada.
Sonny DhananiDepartment of Pediatrics, University of Ottawa and Children's Hospital of Eastern Ontario, Ottawa, ON, Canada.
Matthew J WeissDivision of Pediatric Intensive Care, Centre-Mère Enfant Soleil du CHU de Québec, Québec City, QC, Canada.
Sam ShemieDeceased Organ Donation, Canadian Blood Services and Division of Critical Care Medicine, Montreal Children's Hospital and McGill University Health Centre & Research Institute, Montreal, QC, Canada.
Ian M BallDepartment of Medicine, Western University, London Health Sciences Centre, London, ON, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe number of patients on cardiac transplant waitlists exceeds the number of available donor organs. Cardiac donation is currently limited to those declared dead by neurologic criteria in all but three countries. Cardiac donation after circulatory determination of death (cardiac DCDD) can be conducted using direct procurement and perfusion (DPP) or normothermic regional perfusion (NRP). Implementation of cardiac DCDD in many countries has been slowed by ethical debates within the donation and transplantation community. We conducted a national survey to determine the perceptions of healthcare providers regarding cardiac DCDD.

methodsWe conducted an electronic survey of 398 healthcare providers who are involved in the management of heart donors and/or heart transplant recipients in Canada (226 nurses, 82 critical care physicians, 31 donation specialists, and 59 transplant specialists). Our primary outcomes were their attitudes towards and concerns regarding cardiac DCDD protocols and their implementation in Canada. We distributed the survey electronically through several Canadian donation and transplantation organizations.

resultsWe identified that 361 of 391 respondents (92.3%; 95% confidence interval [CI], 89.6 to 95.1) believed that DPP is acceptable, and 329 of 377 respondents (87.3%; 95% CI, 83.9 to 90.7) supported its implementation in Canada. We found that 301 of 384 respondents (78.4%; 95% CI, 74.2 to 82.6) believed that NRP is acceptable and 266 of 377 respondents (70.6%; 95% CI, 66.0 to 75.2) supported its implementation in Canada.

conclusionThis is the first survey describing the attitudes of healthcare providers towards cardiac DCDD. We identified widespread support for cardiac DCDD and its implementation in Canada among Canadian healthcare providers within the organ donation and transplantation community in Canada.

Indexed as

Attitude of Health PersonnelTissue and Organ ProcurementCanadaDeathHumansTissue Donors

Identifiers

PMID31898778

What OpenQuestion holds

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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.