Is There a Particular Ethical Practice and Policy Space in North America for Uncontrolled Kidney Donation after Circulatory Death?

Despite successful transplantation outcomes in Europe, uncontrolled organ donation after circulatory determination of death (uDCDD) has essentially been a non-starter in North America. In this paper, I identify and explore a set of interesting, ethics-related considerations that are of relevance to...

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Veröffentlicht in:	The Journal of law, medicine & ethics medicine & ethics, 2017-03, Vol.45 (1), p.142-148
1. Verfasser:	Kirby, Jeffrey
Format:	Artikel
Sprache:	eng
Schlagworte:	Blood & organ donations Canada Cardiopulmonary resuscitation Consent CPR Death Death & dying Decision making Donation of organs, tissues, etc Emergency medical care Ethical aspects Ethics Europe Government regulation Health Policy Health technology assessment Humans Ischemia Kidney transplantation Kidneys Laws, regulations and rules Medical care decision making authority (Law) Medical ethics North America Organ donation Tissue and Organ Procurement Tissue donation Transplantation
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Beschreibung
Zusammenfassung:	Despite successful transplantation outcomes in Europe, uncontrolled organ donation after circulatory determination of death (uDCDD) has essentially been a non-starter in North America. In this paper, I identify and explore a set of interesting, ethics-related considerations that are of relevance to this organ donation-transplantation practice. The analysis provides a theoretical platform for my development of a proposal for the creation of a particular ethical practice and policy space for kidney uDCDD in the U.S. and Canada that recognizes and aims to effectively address the various, identified challenges and constraints.
ISSN:	1073-1105 1748-720X
DOI:	10.1177/1073110517703108