Evidence map›Paper›PMID 36148004›Full record

ArticleTransplant international : official journal of the European Society for Organ Transplantation2022

"A Delicate balance"-Perceptions and Experiences of ICU Physicians and Nurses Regarding Controlled Donation After Circulatory Death. A Qualitative Study.

Matthieu Le Dorze, Sara Martouzet, Etienne Cassiani-Ingoni, France Roussin, Alexandre Mebazaa, Lucas Morin, Nancy Kentish-Barnes

Abstract read
In one paragraph

Article in Transplant international : official journal of the European Society for Organ Transplantation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Nurse's life world in organ donation and tissue.Revista brasileira de enfermagem · 2025
    Article
  5. Mapping and Handling Conflicts of Interest in Deceased Organ Donation: How to Handle Ethical Issues and Build Trust in the Healthcare Team.Transplant international : official journal of the European Society for Organ Transplantation · 2025
    Review
  6. cDCDD and Heart Procurement: Challenges from a French Critical Care Perspective.Transplant international : official journal of the European Society for Organ Transplantation · 2025
    Article
  7. Article
  8. Observational
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

7 authors.

Matthieu Le DorzeAP-HP, Hôpital Lariboisière, Department of Anesthesia and Critical Care Medicine, Paris, France.
Sara MartouzetUniversité de Tours, EA 7505 Éducation, Éthique et Santé, Tours, France.
Etienne Cassiani-IngoniAP-HP, Hôpital Lariboisière, Department of Anesthesia and Critical Care Medicine, Paris, France.
France RoussinAP-HP, Hôpital Lariboisière, Department of Anesthesia and Critical Care Medicine, Paris, France.
Alexandre MebazaaAP-HP, Hôpital Lariboisière, Department of Anesthesia and Critical Care Medicine, Paris, France.
Lucas MorinINSERM CIC 1431, University Hospital of Besançon, Besançon, France.
Nancy Kentish-BarnesAP-HP, Saint Louis University Hospital, Famiréa Research Group, Medical Intensive Care Unit, Paris, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Controlled donation after circulatory death (cDCD) is considered by many as a potential response to the scarcity of donor organs. However, healthcare professionals may feel uncomfortable as end-of-life care and organ donation overlap in cDCD, creating a potential barrier to its development. The aim of this qualitative study was to gain insight on the perceptions and experiences of intensive care units (ICU) physicians and nurses regarding cDCD. We used thematic analysis of in-depth semi-structured interviews and 6-month field observation in a large teaching hospital. 17 staff members (8 physicians and 9 nurses) participated in the study. Analysis showed a gap between ethical principles and routine clinical practice, with a delicate balance between end-of-life care and organ donation. This tension arises at three critical moments: during the decision-making process leading to the withdrawal of life-sustaining treatments (LST), during the period between the decision to withdraw LST and its actual implementation, and during the dying and death process. Our findings shed light on the strategies developed by healthcare professionals to solve these ethical tensions and to cope with the emotional ambiguities. cDCD implementation in routine practice requires a shared understanding of the tradeoff between end-of-life care and organ donation within ICU.

Indexed as

Organ TransplantationPhysiciansTerminal CareTissue and Organ ProcurementDeathHumansIntensive Care Unitscontrolled donation after circulatory deathend of lifeorgan donationqualitative researchwithdrawal of life-sustaining treatments

Identifiers

PMID36148004
PMCPMC9485469

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.