Evidence map›Paper›PMID 38012766›Full record

ArticleBMC medical ethics2023

Attitude and concerns of healthy individuals regarding post-mortem brain donation. A qualitative study on a nation-wide sample in Italy.

Chiara Cattaneo, Iuliia Urakcheeva, Gianmarco Giacomini, Maria Antonietta Stazi, Susanna Lana, Antonio Arnofi, Miriam Salemi, Virgilia Toccaceli

Abstract read
In one paragraph

Article in BMC medical ethics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Brain donation rules in Italy and worldwide: overview of a cutting-edge topic for human brain research.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Review
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

8 authors.

Chiara CattaneoNational Centre for Disease Prevention and Health Promotion, Istituto Superiore di Sanità, Rome, Italy.
Iuliia UrakcheevaPresidency of Istituto Superiore di Sanità, Rome, Italy.
Gianmarco GiacominiCentre of Reference for Mental Health and Behavioural Sciences, Istituto Superiore di Sanità, Rome, Italy.
Maria Antonietta StaziCentre of Reference for Mental Health and Behavioural Sciences, Istituto Superiore di Sanità, Rome, Italy.
Susanna LanaNational Centre for Disease Prevention and Health Promotion, Istituto Superiore di Sanità, Rome, Italy.
Antonio ArnofiCentre of Reference for Mental Health and Behavioural Sciences, Istituto Superiore di Sanità, Rome, Italy.
Miriam SalemiCentre of Reference for Mental Health and Behavioural Sciences, Istituto Superiore di Sanità, Rome, Italy.
Virgilia ToccaceliCentre of Reference for Mental Health and Behavioural Sciences, Istituto Superiore di Sanità, Rome, Italy. virgilia.toccaceli@iss.it.

Funding

Fondazione Cariplo FASC. X37 -ISS
6 · The paper itself

Abstract

backgroundCollecting post-mortem brain tissue is essential, especially from healthy "control" individuals, to advance knowledge on increasingly common neurological and mental disorders. Yet, healthy individuals, on which this study is focused, are still understudied. The aim of the study was to explore, among healthy potential brain donors and/or donors' relatives, attitude, concerns and opinion about post-mortem brain donation (PMBD).

methodsA convenience sampling of the general population (twins and their non-twin contacts) was adopted. From June 2018 to February 2019, 12 focus groups were conducted in four Italian cities: Milan, Turin, Rome and Naples, stratified according to twin and non-twin status. A qualitative content analysis was performed with both deductive and inductive approaches. Emotional interactions analysis corroborated results.

resultsOne hundred and three individuals (49-91 yrs of age) participated. Female were 60%. Participants had scarse knowledge regarding PMBD. Factors affecting attitude towards donation were: concerns, emotions, and misconceptions about donation and research. Religion, spirituality and secular attitude were implied, as well as trust towards research and medical institutions and a high degree of uncertainty about brain death ascertainment. Family had a very multifaceted central role in decision making. A previous experience with neurodegenerative diseases seems among factors able to favour brain donation.

conclusionsThe study sheds light on healthy individuals' attitudes about PMBD. Brain had a special significance for participants, and the ascertainment of brain death was a source of debate and doubt. Our findings emphasise the importance of targeted communication and thorough information to promote this kind of donation, within an ethical framework of conduct. Trust in research and health professionals emerged as an essential factor for a collaborative attitude towards donation and informed decision making in PMBD.

Indexed as

Brain DeathTissue and Organ ProcurementAttitudeAttitude to HealthBrainFemaleHumansItalyTissue DonorsBrainDecision makingHealthy individualsInformed consentPosthumous donation

Identifiers

PMID38012766
PMCPMC10683267

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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.