Evidence map›Paper›PMID 34674700›Full record

ReviewBMC medical ethics2021

The COVID-19 pandemic and organ donation and transplantation: ethical issues.

Ban Ibrahim, Rosanne Dawson, Jennifer A Chandler, Aviva Goldberg, David Hartell, Laura Hornby, Christy Simpson, Matthew-John Weiss, Lindsay C Wilson, T Murray Wilson and 1 more

Abstract readReview
In one paragraph

Review in BMC medical ethics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Review
  5. Review
  6. 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

11 authors.

Ban IbrahimCanadian Blood Services, Ottawa, ON, Canada.
Rosanne DawsonCanadian Blood Services, Ottawa, ON, Canada.
Jennifer A ChandlerFaculty of Law, University of Ottawa, Ottawa, ON, Canada.
Aviva GoldbergCanadian Donation and Transplantation Research Program, Edmonton, AB, Canada.
David HartellCanadian Blood Services, Ottawa, ON, Canada.
Laura HornbyCanadian Blood Services, Ottawa, ON, Canada.
Christy SimpsonCanadian Blood Services, Ottawa, ON, Canada.
Matthew-John WeissCanadian Donation and Transplantation Research Program, Edmonton, AB, Canada.
Lindsay C WilsonCanadian Blood Services, Ottawa, ON, Canada.
T Murray WilsonCanadian Donation and Transplantation Research Program, Edmonton, AB, Canada.
Marie-Chantal FortinCanadian Donation and Transplantation Research Program, Edmonton, AB, Canada. Marie-chantal.fortin.med@ssss.gouv.qc.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic has had a significant impact on the health system worldwide. The organ and tissue donation and transplantation (OTDT) system is no exception and has had to face ethical challenges related to the pandemic, such as risks of infection and resource allocation. In this setting, many Canadian transplant programs halted their activities during the first wave of the pandemic.

methodTo inform future ethical guidelines related to the COVID-19 pandemic or other public health emergencies of international concern, we conducted a literature review to summarize the ethical issues.

resultsThis literature review identified three categories of ethical challenges. The first one describes the general ethical issues and challenges reported by OTDT organizations and transplantation programs, such as risks of COVID-19 transmission and infection to transplant recipients and healthcare professionals during the transplant process, risk of patient waitlist mortality or further resource strain where transplant procedures have been delayed or halted, and resource allocation. The second category describes ethical challenges related to informed consent in the context of uncertainty and virtual consent. Finally, the third category describes ethical issues related to organ allocation, such as social considerations in selecting transplant candidates.

conclusionThis literature review highlights the salient ethical issues related to OTDT during the current COVID-19 pandemic. As medical and scientific knowledge about COVID-19 increases, the uncertainties related to this disease will decrease and the associated ethical issues will continue to evolve.

Indexed as

COVID-19Organ TransplantationTissue and Organ ProcurementCanadaHumansPandemicsSARS-CoV-2COVID-19EthicsOrgan donationOrgan transplantation

Identifiers

PMID34674700
PMCPMC8528937

What OpenQuestion holds

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LicenceCC BY
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.