| Attitudes of the American public toward organ donation after uncontrolled (sudden) cardiac death. | |
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MedLine Citation:
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PMID: 20121727 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Concerns about public support for organ donation after cardiac death have hindered expansion of this practice, particularly rapid organ recovery in the context of uncontrolled (sudden) cardiac death (uDCD). A nationally representative Internet-based panel was provided scenarios describing donation in the context of brain death, controlled cardiac death and uncontrolled cardiac death. Participants were randomized to receive questions about trust in the medical system before or after the rapid organ recovery scenario. Among 1631 panelists, 1049 (64%) completed the survey. Participants expressed slightly more willingness to donate in the context of controlled and uncontrolled cardiac death than after brain death (70% and 69% vs. 66%, respectively, p < 0.01). Eighty percent of subjects (95% CI 77-84%) would support having a rapid organ recovery program in their community, though 83% would require family consent or a signed donor card prior to invasive procedures for organ preservation. The idea of uDCD slightly decreased trust in the medical system from 59% expressing trust to 51% (p = 0.02), but did not increase belief that a signed donor card would interfere with medical care (28% vs. 32%, p = 0.37). These findings provide support for the careful expansion of uDCD, albeit with formal consent prior to organ preservation. |
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Authors:
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M L Volk; G J W Warren; R R Anspach; M P Couper; R M Merion; P A Ubel |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2010-02-01 |
Journal Detail:
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Title: American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons Volume: 10 ISSN: 1600-6143 ISO Abbreviation: Am. J. Transplant. Publication Date: 2010 Mar |
Date Detail:
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Created Date: 2010-04-26 Completed Date: 2010-10-12 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100968638 Medline TA: Am J Transplant Country: United States |
Other Details:
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Languages: eng Pagination: 675-80 Citation Subset: IM |
Affiliation:
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Department of Medicine, Center for Behavioral and Decision Sciences, University of Michigan, Ann Arbor, MI, USA. mvolk@med.umich.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Aged, 80 and over Attitude to Death* Cross-Sectional Studies Death, Sudden, Cardiac* Decision Making Female Humans Internet Male Middle Aged Public Opinion Questionnaires Random Allocation Tissue and Organ Procurement / ethics, methods* United States |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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