When is directed deceased donation justified? Practical, ethical, and legal issues-Reference-Cited by-同舟云学术

When is directed deceased donation justified? Practical, ethical, and legal issues

Published:2024-02-13 Issue:3 Volume:25 Page:333-338
ISSN:1751-1437
Container-title:Journal of the Intensive Care Society
language:en
Short-container-title:Journal of the Intensive Care Society

Author:

Shaw David¹²^ORCID,Gardiner Dale³,Ploeg Rutger⁴,Floden Anne⁵⁶,Cooper Jessie⁷,Pérez-Blanco Alicia⁸,Wind Tineke⁹,Dijkhuizen Lydia¹⁰,Jansen Nichon¹⁰,Haase-Kromwijk Bernadette¹⁰

Affiliation:

1. Institute for Biomedical Ethics, University of Basel, Basel, Switzerland

2. Care and Public Health Research Institute, Maastricht University, Maastricht, The Netherlands

3. Nottingham University Hospitals NHS Trust, Nottingham, UK

4. Nuffield Department of Surgical Sciences, University of Oxford, Oxford, UK

5. Institute of Health and Care Science, University of Gothenburg, Gothenburg, Sweden

6. Department of Anaestesiology, S∂dra Alvsborgs Hospital, Boras, Sweden

7. Department of Health Services Research and Management, School of Health & Psychological Sciences, City University, London, UK

8. Spanish National Transplant Organization, Madrid, Spain

9. Maastricht University Medical Centre, Maastricht, The Netherlands

10. Dutch Transplant Foundation, Leiden, The Netherlands

Abstract

This paper explores whether directed deceased organ donation should be permitted, and if so under which conditions. While organ donation and allocation systems must be fair and transparent, might it be “one thought too many” to prevent directed donation within families? We proceed by providing a description of the medical and legal context, followed by identification of the main ethical issues involved in directed donation, and then explore these through a series of hypothetical cases similar to those encountered in practice. Ultimately, we set certain conditions under which directed deceased donation may be ethically acceptable. We restrict our discussion to the allocation of organs to recipients already on the waiting list.

Publisher

SAGE Publications

Link

https://journals.sagepub.com/doi/pdf/10.1177/17511437241231705

Reference24 articles.

1. Human Tissue Authority (UK). Human Tissue Authority statement on directed donation of organs after death. 14 April 2008.

2. European Commission. Competent authorities for organ donation and transplantation. https://health.ec.europa.eu/system/files/2020-02/competentauthorities_organs_en_0.pdf (accessed 7 February 2024).

3. UK Health Administrations. Requested allocation of deceased donor organs, 2010. https://bts.org.uk/wp-content/uploads/2016/09/finalguidanceen.pdf (accessed 7 February 2024).