Outcomes from organ donation following medical assistance in dying: A sset.' scoping review

AIM To Compare and sumniaize the cLnrie s Latrnaionalliteiature o the transpla trcipient ocomes oforgan gon Medical Assistane in Dyig (MAi) dnors, asvefl as e actual and)otentiailmpact of oiran ionation followint MAID n the donation and transplantation system.Background: The provision of organ donation following MAiD can impact the donation and transplantation system, as well as potential recipients oforgans froiniie MAD donor. therefore a compiehensive undeistanding of the potential and actUal impactof organ donation after MAD on the donation and transplantation systems is needed.Design:Scoping review using the JBI fianlewoik.Methods. We searched for published (MEDLINE, Enibase, CINAHL, PsycINFO, Web of Science, and Academic Search Complete, and unpublished literature (organ donation organization weasites worldwide). Included teferences discussed the actual and potential inipact of organ donation following MAiD on the donation and transplantation systen All references were screened, extracted and analysed by Two independent reviewers.Resuits: We included 78 references in this review andou finding weresuninarized across three categories: (1) Impact in the donor pool: (2) statistics on organ donation following MAiD. and (3) potential and actual impact of MAD on the donation and transplant system.Conclusions:The potential impact of the MAiD donor on the transplant waiting list is relatively small as this process is still rare, however, due to the culrrent organ shortageworldwide the contribution of this procedure should not be disregarded. Additionally, despite being limited, the existing research provided scanty evidence that organs retrieved fion MAID donos ae associated with satisfactory giaft function and snuvival rates and that outcones fLon nansplant recipients are comparable to those of organs fros donation following brain death and msay hebetter than those of organs fion other types of donation after circulatory deteinined death. Still, fuithe studies are required for comprehensive and reliable evidence.