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Abandoning the Dead Donor Rule?

Title: Abandoning the Dead Donor Rule?: A National Survey of Public Views on Death and Organ Donation.
Name(s): Nair-Collins, Michael, author
Green, Sydney, author
Sutin, Angelina, author
Type of Resource: text
Genre: Text
Issuance: serial
Date Issued: 2014
Physical Form: computer
online resource
Extent: 1 online resource
Language(s): English
Abstract/Description: Brain dead organ donors are the principal source of transplantable organs. However, it is controversial whether brain death is the same as biological death. Therefore, it is unclear whether organ removal in brain death is consistent with the 'dead donor rule', which states that organ removal must not cause death. Our aim was to evaluate the public's opinion about organ removal if explicitly described as causing the death of a donor in irreversible apneic coma. We conducted a cross-sectional internet survey of the American public (n=1096). Questionnaire domains included opinions about a hypothetical scenario of organ removal described as causing the death of a patient in irreversible coma, and items measuring willingness to donate organs after death. Some 71% of the sample agreed that it should be legal for patients to donate organs in the scenario described and 67% agreed that they would want to donate organs in a similar situation. Of the 85% of the sample who agreed that they were willing to donate organs after death, 76% agreed that they would donate in the scenario of irreversible coma with organ removal causing death. There appears to be public support for organ donation in a scenario explicitly described as violating the dead donor rule. Further, most but not all people who would agree to donate when organ removal is described as occurring after death would also agree to donate when organ removal is described as causing death in irreversible coma.
Identifier: FSU_migr_mhs-0040 (IID), 10.1136/medethics-2014-102229 (DOI)
Keywords: attitudes toward death, Dead Donor Rule, determination of death, donation, procurement of organs, vital organ donation
Note: Originally published in Journal of Medical Ethics:
Citation: Nair-Collins M, Green SR, & Sutin AR. (2014). Abandoning the dead donor rule? A national survey of public views on death and organ donation. J Med Ethics. 2014 Sep 26. pii: medethics-2014-102229. doi: 10.1136/medethics-2014-102229.
Subject(s): Professional ethics
Medical laws and legislation
Medical policy
Medical sciences
Persistent Link to This Record:
Owner Institution: FSU
Is Part of Series: Behavioral Sciences and Social Medicine Faculty Publications.
Is Part Of: Journal of Medical Ethics.

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Nair-Collins, M., Green, S., & Sutin, A. (2014). Abandoning the Dead Donor Rule?: A National Survey of Public Views on Death and Organ Donation. Journal Of Medical Ethics. Retrieved from