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Attitudes toward Death Criteria and Organ Donation among Healthcare Personnel and the General Public
Abstract
Objective: To examine attitudes toward death criteria and their relation to attitudes and behaviors regarding organ donation. Data Sources: This article reviews empirical studies on the attitudes of healthcare personnel and the general public regarding death criteria and organ donation. Study Selection and Data Extraction: The review was restricted to studies that had as a primary focus attitudes toward 1 or more of the following 3 specific criteria for determining death: (1) brain death, the irreversible loss of all functions of the entire brain; (2) higher brain death, the loss of cerebral cortex function alone; and (3) the circulatory-respiratory criteria commonly used in donation after cardiac death. Data Synthesis: Studies consistently show that the general public and some medical personnel are inadequately familiar with the legal and medical status of brain death; attitudes toward the dead donor rule are strong predictors of willingness to donate organs using controversial criteria; concerns about donation after cardiac death surround the withdrawal of life support more than the actual death criteria used; and concerns about death criteria correlate with less favorable attitudes toward organ donation. Conclusions: Both general and ethical education may serve to guide policy and facilitate family member requests and informed consent dialogues. Furthermore, helping families to understand and accept not only medical and legal criteria for determining death, but also ethical criteria for withdrawing life support may help them be more comfortable with their decisions.
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Uncontrolled donation after circulatory death raises ethical challenges.
“Uncontrolled donation after circulatory death raises ethical challenges. 185,189”
From European Resuscitation Council Guidelines 2021: Ethics of resuscitation and end of life decisions (2021) · cites this paper as [189]
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Metadata
- Authors
- DuBois, J. M., & Anderson, E. E.
- Affiliations
- Saint Louis University (US)
- Venue
- Progress in Transplantation
- Publisher
- SAGE Publications
- Published
- 2006-03
- Volume
- 16
- Issue
- 1
- Pages
- 65-73
- ISSN
- 0905-9199 (ISSN-L)
- 1526-9248
- 2164-6708
- OpenAlex
- W2101688585
- Cited by
- 125
- References
- 47
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 5 · 2023: 8 · 2022: 5 · 2021: 9 · 2020: 3 · 2019: 3 · 2018: 7 · 2017: 4 · 2016: 9 · 2015: 11 · 2014: 17 · 2013: 5 · 2012: 3
- FWCI
- 6.33
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Progress in Transplantation (publishedVersion)
- PubMed (publishedVersion)
- DigitalGeorgetown (Georgetown University Library) (submittedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Organ Donation and Transplantation
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Health Sciences › Medicine › Surgery › Organ Transplantation Techniques and Outcomes
- Keywords
- organ donation, brain death, donation after circulatory death, dead donor rule, withdrawal of life-sustaining treatment, public attitudes, informed consent, family decision-making, ethics education
- MeSH terms
- Attitude of Health Personnel, Attitude to Death, Attitude to Health, Brain Death, Decision Making, Family, Health Services Needs and Demand, Heart Arrest, Humans, Informed Consent, Health Knowledge, Attitudes, Practice, Tissue and Organ Procurement, Professional-Family Relations, Public Opinion, Surveys and Questionnaires, United States, Professional Role, Withholding Treatment, Trust
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