Ethical and Policy Considerations in Organ Donation after Circulatory Determination of Death

Publication Date: July 1, 2013

Key Points

Key Points

More than 21,000 deceased donor transplants are performed in the United States each year.

Based on 2011 data from the Organ Procurement Transplantation Network, 26% of listed solid organ transplant candidates were too sick to be transplanted or died while awaiting transplant.

The supply of ‘traditional’ donors after neurological determination of death is insufficient to provide organs to all patients who might benefit from transplants.

Donation after circulatory determination of death (DCDD) has the potential to increase the number of deceased donor transplants by roughly 10%.

This statement is designed to provide a framework to guide ethics and health policy considerations in adult and pediatric controlled DCDD from the perspective of critical care medicine clinicians, transplant subspecialists, and allocation authorities.

This report addresses controlled DCDD. It does not address uncontrolled DCDD, which refers to donation after an unexpected circulatory arrest.




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