Evidence map›Paper›PMID 37364165›Full record

ArticleThe Journal of medicine and philosophy2023

Inconsistency between the Circulatory and the Brain Criteria of Death in the Uniform Determination of Death Act.

Alberto Molina-Pérez, James L Bernat, Anne Dalle Ave

Abstract read
In one paragraph

Article in The Journal of medicine and philosophy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Death pluralism: a proposal.Philosophy, ethics, and humanities in medicine : PEHM · 2023
    Article
  2. 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

3 authors.

Alberto Molina-PérezInstituto de Estudios Sociales Avanzados (IESA), CSIC, Córdoba, Spain.
James L BernatGeisel School of Medicine, Dartmouth College, Hanover, New Hampshire, USA.
Anne Dalle AveThe Kennedy Institute of Ethics, Georgetown University, Washington, USA.

Funding

Spanish Government MINECO FFI2017-88913-P
6 · The paper itself

Abstract

The Uniform Determination of Death Act (UDDA) provides that "an individual who has sustained either (1) irreversible cessation of circulatory and respiratory functions or (2) irreversible cessation of all functions of the entire brain, including the brain stem, is dead." We show that the UDDA contains two conflicting interpretations of the phrase "cessation of functions." By one interpretation, what matters for the determination of death is the cessation of spontaneous functions only, regardless of their generation by artificial means. By the other, what matters is the cessation of both spontaneous and artificially supported functions. Because each UDDA criterion uses a different interpretation, the law is conceptually inconsistent. A single consistent interpretation would lead to the conclusion that conscious individuals whose respiratory and circulatory functions are artificially supported are actually dead, or that individuals whose brain is entirely and irreversibly destroyed may be alive. We explore solutions to mitigate the inconsistency.

Indexed as

BrainBrain DeathDeathHumansconceptual analysisdeath determinationfunctionsUniform Death Determination Actwhole-brain death

Identifiers

PMID37364165
PMCPMC10501178

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.