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Comment & Response |

Organ Donation After Circulatory Death

Elliott M. Weiss, MD1; Kathryn E. Miller, MD2
[+] Author Affiliations
1Division of Neonatology, Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania
2Division of Pediatric Critical Care Medicine, University Hospitals Rainbow Babies and Children’s Hospital, Cleveland, Ohio
JAMA. 2015;314(15):1645-1646. doi:10.1001/jama.2015.11432.
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To the Editor Faced with the challenge of increasing the US organ donor pool to meet increasing demand, Dr Wall and colleagues1 proposed the following 2-step process for uncontrolled donation after circulatory determination of death (UDCDD): initial permission for organ preservation followed, a few hours later, by formal consent for donation. Even though UDCDD would likely increase the supply of available organs, we have the following concerns related to its implementation: (1) organ preservation is not benign; (2) the benefit of delaying consent is questionable; and (3) this method threatens the division between treatment teams and organ procurement teams.


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October 20, 2015
Stephen P. Wall, MD, MSc, MAEd; Carolyn Plunkett, MA; Arthur Caplan, PhD
1Ronald O. Perelman Department of Emergency Medicine, NYU School of Medicine, New York, New York
2Division of Medical Ethics, NYU School of Medicine, New York, New York
JAMA. 2015;314(15):1646-1647. doi:10.1001/jama.2015.11444.
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