ArticleCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne2023
Deceased organ and tissue donation after medical assistance in dying: 2023 updated guidance for policy.
Article in CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Organ Donation After Medical Aid in Dying: An Ethical Overview.Bioethics · 2026Article
- Organ donation after euthanasia starting at home: a mixed-methods study of preliminary nationwide Dutch experiences.Transplant international : official journal of the European Society for Organ Transplantation · 2026Article
- Evaluating Islet Cell Isolation and Transplantation From Donors Following Medical Assistance in Dying.Transplantation direct · 2024Article
- Organ donation after medical assistance in dying: a descriptive study from 2018 to 2022 in Quebec.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2024Article
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Authors and funding
7 authors.
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Abstract
backgroundSince Canadian Blood Services (CBS) developed policy guidance in 2019 for organ and tissue donation after medical assistance in dying (MAiD), the federal government has made changes to legislation related to MAiD. This document provides updated guidance for clinicians, organ donation organizations, end-of-life care experts, MAiD providers and policy-makers on the impact of these changes.
methodsCanadian Blood Services assembled a group of 63 experts from critical care, organ and tissue donation, health care administration, MAiD, bioethics, law and research to review the legislative changes in the Organ and Tissue Donation After Medical Assistance in Dying - Guidance for Policy forum. Two patients who had requested and been found eligible for MAiD and 2 family members of patients who had donated organs after MAiD were also included as participants. In a series of 3 online meetings from June 2021 to April 2022, forum participants addressed a variety of topics in small and large groups. These discussions were informed by a comprehensive scoping review using JBI methodology. We used an adapted form of nominal group technique to develop the recommendations, which were approved by consensus of the participants. Management of competing interests was in accordance with Guideline International Network principles. RECOMMENDATIONS: Although many of the recommendations from the guidance developed in 2019 are still relevant, this guidance provides 2 updated recommendations and 8 new recommendations in the following areas: referral to an organ donation organization, consent, directed and conditional donation, MAiD procedures, determination of death, health care professionals and reporting.
interpretationPolicies and practices for organ and tissue donation after MAiD in Canada should align with current Canadian legislation. This updated guidance will help clinicians navigate the medical, legal and ethical challenges that arise when they support patients pursuing donation after MAiD.
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