Evidence map›Paper›PMID 32918249›Full record

ArticleCanadian journal of anaesthesia = Journal canadien d'anesthesie2020

Improving quality of withdrawal of life-sustaining measures in organ donation: a framework and implementation toolkit.

Andrew Healey, Michael Hartwick, James Downar, Sean Keenan, Jehan Lalani, Jim Mohr, Amber Appleby, Jenna Spring, Jesse W Delaney, Lindsay C Wilson and 2 more

Abstract read
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 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Donation after circulatory death and lung transplantation.Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia · 2022
    Review
  7. 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

12 authors.

Andrew HealeyDivision of Emergency Medicine, Department of Medicine, McMaster University, Hamilton, ON, Canada. ahealeymd@gmail.com.ORCID http://orcid.org/0000-0002-4540-0425
Michael HartwickDepartment of Critical Care, The Ottawa Hospital, Ottawa, ON, Canada.ORCID http://orcid.org/0000-0002-2888-6996
James DownarDepartment of Critical Care, The Ottawa Hospital, Ottawa, ON, Canada.ORCID http://orcid.org/0000-0001-7479-1560
Sean KeenanDivision of Critical Care Medicine, University of British Columbia, Vancouver, BC, Canada.ORCID http://orcid.org/0000-0002-1071-4950
Jehan LalaniDonation and Transplantation, Canadian Blood Services, Ottawa, ON, Canada.ORCID http://orcid.org/0000-0001-5025-2677
Jim MohrDonation and Transplantation, Canadian Blood Services, Ottawa, ON, Canada.ORCID http://orcid.org/0000-0003-3434-6619
Amber ApplebyDonation and Transplantation, Canadian Blood Services, Ottawa, ON, Canada.ORCID http://orcid.org/0000-0003-1816-1139
Jenna SpringInterdepartmental Division of Critical Care Medicine, Department of Medicine, University of Toronto, Toronto, ON, Canada.ORCID http://orcid.org/0000-0001-7296-0105
Jesse W DelaneyDepartments of Critical Care and Medicine, Scarborough Health Network, Scarborough, ON, Canada.ORCID http://orcid.org/0000-0001-6241-1970
Lindsay C WilsonDonation and Transplantation, Canadian Blood Services, Ottawa, ON, Canada.ORCID http://orcid.org/0000-0002-1216-2942
Sam ShemieDonation and Transplantation, Canadian Blood Services, Ottawa, ON, Canada.ORCID http://orcid.org/0000-0002-9776-1257
for Canadian Blood Services, the Canadian Critical Care Society, the Canadian Association of Critical Care Nurses, and the Canadian Society of Palliative Care Physicians

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDonation after circulatory determination of death (DCD) is responsible for the largest increase in deceased donation over the past decade. When the Canadian DCD guideline was published in 2006, it included recommendations to create standard policies and procedures for withdrawal of life-sustaining measures (WLSM) as well as quality assurance frameworks for this practice. In 2016, the Canadian Critical Care Society produced a guideline for WLSM that requires modifications to facilitate implementation when DCD is part of the end-of-life care plan.

methodsA pan-Canadian multidisciplinary collaborative was convened to examine the existing guideline framework and to create tools to put the existing guideline into practice in centres that practice DCD.

resultsA set of guiding principles for implementation of the guideline in DCD practice were produced using an iterative, consensus-based approach followed by development of four implementation tools and three quality assurance and audit tools.

conclusionsThe tools developed will aid DCD centres in fulsomely adapting the Canadian Critical Care Society Withdrawal of Life-Sustaining Measures guideline.

Indexed as

Tissue and Organ ProcurementCanadaCritical CareDeathHumansTissue Donorsdonation after circulatory death (DCD)end-of-life careorgan donationwithdrawal of life sustaining measures

Identifiers

PMID32918249
PMCPMC7546981

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.