Evidence map›Paper›PMID 38286494›Full record

ArticleCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne2024

Organ donation after medical assistance in dying: a descriptive study from 2018 to 2022 in Quebec.

Matthew J Weiss, Mathilde Dupras-Langlais, Marie-Josée Lavigne, Sylvain Lavigne, Annie-Carole Martel, Prosanto Chaudhury

Abstract read
In one paragraph

Article in CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2024. 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. Results of Kidney Transplantation from Donors Following Euthanasia in the Netherlands: Benchmarking Science and Ethical Challenge.Transplant international : official journal of the European Society for Organ Transplantation · 2024
    Article
  3. Promising Results of Kidney Transplantation From Donors Following Euthanasia During 10-Year Follow-Up: A Nationwide Cohort Study.Transplant international : official journal of the European Society for Organ Transplantation · 2024
    Article
  4. 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

6 authors.

Matthew J WeissTransplant Québec (Weiss, Dupras-Langlais, M.-J. Lavigne, S. Lavigne, Martel, Chaudhury), Montréal, Que.; Division of Critical Care, Department of Pediatrics (Weiss), Centre Mère-Enfant Soleil du CHU de Québec, Que.; McGill University Health Centre (Chaudhury), Montréal, Que. matthew.weiss.med@ssss.gouv.qc.ca.
Mathilde Dupras-LanglaisTransplant Québec (Weiss, Dupras-Langlais, M.-J. Lavigne, S. Lavigne, Martel, Chaudhury), Montréal, Que.; Division of Critical Care, Department of Pediatrics (Weiss), Centre Mère-Enfant Soleil du CHU de Québec, Que.; McGill University Health Centre (Chaudhury), Montréal, Que.
Marie-Josée LavigneTransplant Québec (Weiss, Dupras-Langlais, M.-J. Lavigne, S. Lavigne, Martel, Chaudhury), Montréal, Que.; Division of Critical Care, Department of Pediatrics (Weiss), Centre Mère-Enfant Soleil du CHU de Québec, Que.; McGill University Health Centre (Chaudhury), Montréal, Que.
Sylvain LavigneTransplant Québec (Weiss, Dupras-Langlais, M.-J. Lavigne, S. Lavigne, Martel, Chaudhury), Montréal, Que.; Division of Critical Care, Department of Pediatrics (Weiss), Centre Mère-Enfant Soleil du CHU de Québec, Que.; McGill University Health Centre (Chaudhury), Montréal, Que.
Annie-Carole MartelTransplant Québec (Weiss, Dupras-Langlais, M.-J. Lavigne, S. Lavigne, Martel, Chaudhury), Montréal, Que.; Division of Critical Care, Department of Pediatrics (Weiss), Centre Mère-Enfant Soleil du CHU de Québec, Que.; McGill University Health Centre (Chaudhury), Montréal, Que.
Prosanto ChaudhuryTransplant Québec (Weiss, Dupras-Langlais, M.-J. Lavigne, S. Lavigne, Martel, Chaudhury), Montréal, Que.; Division of Critical Care, Department of Pediatrics (Weiss), Centre Mère-Enfant Soleil du CHU de Québec, Que.; McGill University Health Centre (Chaudhury), Montréal, Que.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSince the implementation of medical assistance in dying (MAiD), deceased organ donation after MAiD has been possible in Quebec. We sought to describe organ donations after MAiD in the first 5 years after this practice was implemented in Quebec.

methodsWe reviewed all cases referred for donation after MAiD from January 2018 to December 2022. We presented all data descriptively with no comparison statistics.

resultsTransplant Québec received 245 referrals for donation after MAiD, of which 82 were retained (33.5%). Of the 163 nonretained referrals, 152 (93.2%) had a recorded reason, including 91 (55.8%) for medical unsuitability on initial screen (e.g., organ dysfunction, medical history), 34 (20.8%) for patient refusal and 21 (12.9%) instances where patients withdrew from the MAiD process entirely. Six patients died before MAiD. Eighteen of the 82 retained cases were cancelled later in the process, almost all (

interpretationThese data describe a substantial increase in deceased donation after MAiD in the first 5 years of implementation in Quebec. Future studies should focus on how to optimize systems to ensure these requests are treated in the most ethical and medically effective way.

Indexed as

Suicide, AssistedTissue and Organ ProcurementCanadaDeathHumansQuebecReferral and ConsultationTissue Donors

Identifiers

PMID38286494
PMCPMC10833101

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.