Ethical Issues in Donation following Circulatory Death: A Scoping Review Examining Changes over Time from 1993 to 2022.

Q1 Arts and Humanities AJOB Empirical Bioethics Pub Date : 2023-01-01 Epub Date: 2023-06-21 DOI:10.1080/23294515.2023.2224590

Briget da Graca, Trevor Borries, Heather Polk, Sudha Ramakrishnan, Giuliano Testa, Anji Wall

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Abstract

Background: Ethical frameworks for organ donation following circulatory death (DCD) were established >20 years ago. However, considerable variation exists among these, indicating consensus has not been reached on all issues. Additionally, advances such as cardiac DCD transplants and normothermic regional perfusion (NRP) may have reignited old debates.Methods: We reviewed the English-language literature addressing ethical issues in DCD from 1993 to 2022, examining changes in frequency with which ethical principles and their sub-themes identified within each, were addressed.Results: Non-maleficence was the most frequently addressed principle (192 of 199 articles), as well as the most varied, with 9 subthemes (versus 2-4 within each of the other bioethical principles).Conclusions: There were several changes in the terminology used to refer to DCD over time, and substantial interest in cardiac DCD and NRP in recent publications, arising in 11 and 19 of the 30 publications from 2018 to 2022.

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循环死亡后捐赠的伦理问题：1993年至2022年随时间变化的范围审查。

背景：循环系统死亡（DCD）后器官捐献的伦理框架已建立>20 几年前。然而，这些问题之间存在相当大的差异，表明尚未就所有问题达成共识。此外，心脏DCD移植和常温区域灌注（NRP）等进展可能重新引发了旧的争论。方法：我们回顾了1993年至2022年DCD中涉及伦理问题的英语文献，研究了伦理原则及其子主题的处理频率的变化。结果：无害原则是最常见的原则（199篇文章中有192篇），也是最多样化的原则，共有9个子主题（而其他生物伦理原则中各有2-4个子主题）。结论：随着时间的推移，用于指代DCD的术语发生了几次变化，最近的出版物对心脏DCD和NRP产生了浓厚的兴趣，在2018年至2022年的30份出版物中，有11份和19份出现。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

AJOB Empirical Bioethics Arts and Humanities-Philosophy

CiteScore

3.90

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0.00%

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