ArticleNeurology2022
Revise the Uniform Determination of Death Act to Align the Law With Practice Through Neurorespiratory Criteria.
Article in Neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 16 papers, 2 of them syntheses that pooled 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.
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.
Who cites it
16 citing papers in PubMed, 2 syntheses or guidelines 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
- A brain-based definition of death and criteria for its determination after arrest of circulation or neurologic function in Canada: a 2023 clinical practice guideline.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2023Guideline
- On the Death of a Self-Integrating Organism: A Reply to "A Biophilosophical Approach to the Determination of Brain Death".The Linacre quarterly · 2026Article
- The Brain as a Whole? Neuroendocrine Functions and Death by Neurological Criteria.The Linacre quarterly · 2025Article
- An Investigation into the Public's Attitude Toward Opting out of Brain Death.Neurocritical care · 2025Article
- Addressing the Problem of Brain Death Misdiagnosis.The Journal of law, medicine & ethics : a journal of the American Society of Law, Medicine & Ethics · 2025Article
- Japanese Perception of Brain Death and Implications for New Medical Technologies: Quantitative and Qualitative Social Media Analysis.JMIR formative research · 2024Article
- Expanding Horizons in Cardiac Transplant: Efficacy and Outcomes of Circulatory and Brain Death Donor Hearts in a Newly Implemented Cardiac Transplant Program with Limited Donor Accessibility and a Literature Review.Journal of clinical medicine · 2024Article
- Rethinking Brain Death-Why "Dead Enough" Is Not Good Enough: The UDDA Revision Series.Neurology · 2023Article
- What Is the Ideal Brain Criterion of Death? Clinical and Practical Considerations: The UDDA Revision Series.Neurology · 2023Article
- Challenges to Brain Death in Revising the Uniform Determination of Death Act: The UDDA Revision Series.Neurology · 2023Article
- Education Research: Changes in Medical Students' Knowledge and Attitudes Toward Clinical Death After Teaching the Philosophy of Death.Neurology. Education · 2023Article
- Infratentorial brain injury and death by neurologic criteria in Canada: a narrative review.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2023Review
- Answering global challenges to the determination of death: consensus-building leadership from Canada.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2023Article
- Revise the Uniform Determination of Death Act to Align the Law With Practice Through Neurorespiratory Criteria.Neurology · 2023Article
- Brain death: Controversies and reappraisals.Clinical liver diseaseReview
Corrections and comments
- Erratum issued
Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Although the Uniform Determination of Death Act (UDDA) has served as a model statute for 40 years, there is a growing recognition that the law must be updated. One issue being considered by the Uniform Law Commission's Drafting Committee to revise the UDDA is whether the text "all functions of the entire brain, including the brainstem" should be changed. Some argue that the absence of diabetes insipidus indicates that some brain functioning continues in many individuals who otherwise meet the "accepted medical standards" like the American Academy of Neurology's. The concern is that the legal criteria and the medical standards used to determine death by neurologic criteria are not aligned. We argue for the revision of the UDDA to more accurately specify legal criteria that align with the medical standards: brain injury leading to permanent loss of the capacity for consciousness, the ability to breathe spontaneously, and brainstem reflexes. We term these criteria neurorespiratory criteria and show that they are well-supported in the literature for physiologic and social reasons justifying their use in the law.
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Registered trials
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.