ArticleTransplant international : official journal of the European Society for Organ Transplantation2025
Ethical Issues in Uncontrolled Donation After Circulatory Determination of Death: A Scoping Review to Reveal Areas of Broad Consensus, and Those for Future Research.
Article in Transplant international : official journal of the European Society for Organ Transplantation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Ethical tensions and professional attitudes toward circulatory death organ donation in the ICU: a systematic review.Intensive care medicine · 2025Pooled it
- Relatives' Experiences of Circulatory Death Following Out-of-Hospital Cardiac Arrest and Their Hypothetical Perspectives on Organ Donation: A Qualitative Study.Journal of advanced nursing · 2026Article
- Willing to Donate? A Quantitative and Thematic Analysis of Attitudes to Deceased Organ Donation in Different Circumstances.Health expectations : an international journal of public participation in health care and health policy · 2026Article
- A structured analysis of the concept of brain death.Theoretical medicine and bioethics · 2026Article
- Outcomes of kidney transplants from donors after cardiac arrest; a UK population-based cohort study.BMC nephrology · 2026Article
- Organ donation after ECPR: ethical challenges and clinical implications.Critical care (London, England) · 2026Review
- Transplant International: Looking Back at 2025, Looking Forward to 2026.Transplant international : official journal of the European Society for Organ Transplantation · 2026Article
- Normothermic regional perfusion (NRP) use in controlled donation after circulatory determination of death (cDCDD): results of the European Society for Organ Transplantation Bucharest consensus conference.Transplant international : official journal of the European Society for Organ Transplantation · 2026Article
- Implementation of a controlled DCD program in Western Austria - key considerations and insights.Transplant international : official journal of the European Society for Organ Transplantation · 2026Article
- Could lessons from medical research ethics inform better conversations and governance for climate engineering research.npj climate action · 2026Article
- Unlocking the potential of uncontrolled DCD in lung transplantation: A review of 2 decades of experience.JHLT open · 2025Review
- From Uncertainty to Consent: Educational Intervention Effects on Knowledge and Willingness to Donate Organs After Death.Healthcare (Basel, Switzerland) · 2025Article
- cDCDD and Heart Procurement: Challenges from a French Critical Care Perspective.Transplant international : official journal of the European Society for Organ Transplantation · 2025Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
Uncontrolled donation after circulatory determination of death (uDCD) protocols are established in several countries with good outcomes. We reviewed the literature between 1997 and 2024 to identify ethical issues. 33 papers were identified. Several areas of continued ethical debate were delineated: the role of advanced life support techniques; the ethical acceptability of aortic occlusion balloons; the nature and timing of consent to organ preserving techniques; whether best interests can/should extend beyond individual bodily integrity in this context. Further empirical research and ethical analyses are needed in these domains. Broad consensus was identified on several issues including: decisions about termination of resuscitation and entry into a uDCD protocol should be made by different teams; at least 20-30 min of cardio-pulmonary resuscitation is required; a hands-off period of 5-7 min is required alongside continuous monitoring; organ preserving techniques should be as minimally invasive as possible; families should be approached early to discuss organ donation by trained staff; public knowledge and engagement about uDCD is poor and must be improved; transparency and informed consent are essential for potential uDCD organ recipients. To maintain transparency and encourage positive public engagement we propose a name change from uDCD to Organ Donation after Sudden Irreversible Cardiac Arrest (ODASICA).
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Registered trials
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.