Lower Rate of Family Refusal for Organ Donation in Non–Heart-Beating Versus Brain-Dead Donors

Andrés, Amado; Morales, Enrique; Vázquez, Sofía; Cebrian, M.P.; Nuño, Enrique; Ortuño, T; Morales, José; Hernández, Eduardo; González, Esther; Gutiérrez, M.; Hernández, Ana; Polanco, Natalia; Gutiérrez, Eduardo; Praga, Manuel

doi:10.1016/j.transproceed.2009.06.039

Cited by 31 publications

(13 citation statements)

References 11 publications

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“…Forty-three articles were included in this review 18 – 59. In total, 27 studies interviewed family members of brain dead patients and 16 interviewed members of the general public.…”

Section: Methodsmentioning

confidence: 99%

A narrative review of the empirical evidence on public attitudes on brain death and vital organ transplantation: the need for better data to inform policy

2014

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Vital organ transplantation is premised on 'the dead donor rule': donors must be declared dead according to medical and legal criteria prior to donation. However, it is controversial whether individuals diagnosed as 'brain dead' are really dead in accordance with the established biological conception of death-the irreversible cessation of the functioning of the organism as a whole. A basic understanding of brain death is also relevant for giving valid, informed consent to serve as an organ donor. There is therefore a need for reliable empirical data on public understanding of brain death and vital organ transplantation. We conducted a review of the empirical literature that identified 43 articles with approximately 18,603 study participants. These data demonstrate that participants generally do not understand three key issues: (1) uncontested biological facts about brain death, (2) the legal status of brain death and (3) that organs are procured from brain dead patients while their hearts are still beating and before their removal from ventilators. These data suggest that, despite scholarly claims of widespread public support for organ donation from brain dead patients, the existing data on public attitudes regarding brain death and organ transplantation reflect substantial public confusion. Our review raises questions about the validity of consent for vital organ transplantation and suggests that existing data are of little assistance in developing policy proposals for organ transplantation from brain dead patients. New approaches to rigorous empirical research with educational components and evaluations of understanding are urgently needed.

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“…Forty-three articles were included in this review 18 – 59. In total, 27 studies interviewed family members of brain dead patients and 16 interviewed members of the general public.…”

Section: Methodsmentioning

confidence: 99%

A narrative review of the empirical evidence on public attitudes on brain death and vital organ transplantation: the need for better data to inform policy

2014

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“…Figure 6 illustrates an even more dramatic evolution in the Netherlands, with a 58.7% decrease in HB donation after starting a NHBD program. Interestingly, at least one study reports on significantly lower family refusal rates among NHBD families (4%) compared to 24% (P < 0.01) among HBD families [83]. Finally, a new category of NHBDs was recently introduced in Belgium: ''NHBD after euthanasia'' [84].…”

Section: Lungmentioning

confidence: 99%

The European experience

Roels¹,

Rahmel²

2011

Transplant International

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Summary This mini‐review on European experiences with tackling the problem of organ shortage for transplantation was based on a literature review of predominantly European publications dealing with the issue of organ donation from deceased donors. The authors tried to identify the most significant factors that have demonstrated to impact on donation rates from deceased donors and subsequent transplant successes. These factors include legislative measures (national laws and European Directives), optimization of the donation process, use of expanded criteria donors, innovative preservation and surgical techniques, organizational efforts, and improved allocation algorithms.

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“…As indicated in the quotation below, discussions with family members are increasingly taking place in the Accident and Emergency (A&E) Department as a means of determining what the next step will be. Only those patients considered to be suitable for organ donation, and where families agree, will be moved into the ICU to undergo testing to confirm death (22).…”

Section: Discussionmentioning

confidence: 99%

When are bereaved family members approached for consent to organ donation: Commentary from 10 European member states

Jansen¹,

Leiden²,

Haase‐Kromwijk³

2014

Transplant Immunology

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Lower Rate of Family Refusal for Organ Donation in Non–Heart-Beating Versus Brain-Dead Donors

Cited by 31 publications

References 11 publications

A narrative review of the empirical evidence on public attitudes on brain death and vital organ transplantation: the need for better data to inform policy

A narrative review of the empirical evidence on public attitudes on brain death and vital organ transplantation: the need for better data to inform policy

The European experience

When are bereaved family members approached for consent to organ donation: Commentary from 10 European member states

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