When is directed deceased donation justified? Practical, ethical, and legal issues

David Shaw; Dale Gardiner; Rutger Ploeg; Anne Floden; Jessie Cooper; Alicia Perez-Blanco; Tineke Wind; Lydia Dijkhuizen; Nichon Jansen; Bernadette Haase-Kromwijk; ESOT ELPAT Working Group On Deceased Donation

doi:10.1177/17511437241231705

When is directed deceased donation justified? Practical, ethical, and legal issues

David Shaw^*, Dale Gardiner, Rutger Ploeg, Anne Floden, Jessie Cooper, Alicia Perez-Blanco, Tineke Wind, Lydia Dijkhuizen, Nichon Jansen, Bernadette Haase-Kromwijk, ESOT ELPAT Working Group On Deceased Donation

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

This paper explores whether directed deceased organ donation should be permitted, and if so under which conditions. While organ donation and allocation systems must be fair and transparent, might it be "one thought too many" to prevent directed donation within families? We proceed by providing a description of the medical and legal context, followed by identification of the main ethical issues involved in directed donation, and then explore these through a series of hypothetical cases similar to those encountered in practice. Ultimately, we set certain conditions under which directed deceased donation may be ethically acceptable. We restrict our discussion to the allocation of organs to recipients already on the waiting list.

Original language	English
Pages (from-to)	333-338
Number of pages	6
Journal	Journal of the Intensive Care Society
Volume	25
Issue number	3
Early online date	1 Feb 2024
DOIs	https://doi.org/10.1177/17511437241231705
Publication status	Published - Aug 2024

Keywords

Organ donation
directed deceased donation
ethics
law
family

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10.1177/17511437241231705Licence: CC BY-NC

Cite this

Shaw, D., Gardiner, D., Ploeg, R., Floden, A., Cooper, J., Perez-Blanco, A., Wind, T., Dijkhuizen, L., Jansen, N., Haase-Kromwijk, B., & ESOT ELPAT Working Group On Deceased Donation (2024). When is directed deceased donation justified? Practical, ethical, and legal issues. Journal of the Intensive Care Society, 25(3), 333-338. https://doi.org/10.1177/17511437241231705

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abstract = "This paper explores whether directed deceased organ donation should be permitted, and if so under which conditions. While organ donation and allocation systems must be fair and transparent, might it be {"}one thought too many{"} to prevent directed donation within families? We proceed by providing a description of the medical and legal context, followed by identification of the main ethical issues involved in directed donation, and then explore these through a series of hypothetical cases similar to those encountered in practice. Ultimately, we set certain conditions under which directed deceased donation may be ethically acceptable. We restrict our discussion to the allocation of organs to recipients already on the waiting list.",

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author = "David Shaw and Dale Gardiner and Rutger Ploeg and Anne Floden and Jessie Cooper and Alicia Perez-Blanco and Tineke Wind and Lydia Dijkhuizen and Nichon Jansen and Bernadette Haase-Kromwijk and {ESOT ELPAT Working Group On Deceased Donation}",

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Shaw, D, Gardiner, D, Ploeg, R, Floden, A, Cooper, J, Perez-Blanco, A, Wind, T, Dijkhuizen, L, Jansen, N, Haase-Kromwijk, B & ESOT ELPAT Working Group On Deceased Donation 2024, 'When is directed deceased donation justified? Practical, ethical, and legal issues', Journal of the Intensive Care Society, vol. 25, no. 3, pp. 333-338. https://doi.org/10.1177/17511437241231705

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T1 - When is directed deceased donation justified? Practical, ethical, and legal issues

AU - Shaw, David

AU - Gardiner, Dale

AU - Ploeg, Rutger

AU - Floden, Anne

AU - Cooper, Jessie

AU - Perez-Blanco, Alicia

AU - Wind, Tineke

AU - Dijkhuizen, Lydia

AU - Jansen, Nichon

AU - Haase-Kromwijk, Bernadette

AU - ESOT ELPAT Working Group On Deceased Donation

PY - 2024/8

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N2 - This paper explores whether directed deceased organ donation should be permitted, and if so under which conditions. While organ donation and allocation systems must be fair and transparent, might it be "one thought too many" to prevent directed donation within families? We proceed by providing a description of the medical and legal context, followed by identification of the main ethical issues involved in directed donation, and then explore these through a series of hypothetical cases similar to those encountered in practice. Ultimately, we set certain conditions under which directed deceased donation may be ethically acceptable. We restrict our discussion to the allocation of organs to recipients already on the waiting list.

AB - This paper explores whether directed deceased organ donation should be permitted, and if so under which conditions. While organ donation and allocation systems must be fair and transparent, might it be "one thought too many" to prevent directed donation within families? We proceed by providing a description of the medical and legal context, followed by identification of the main ethical issues involved in directed donation, and then explore these through a series of hypothetical cases similar to those encountered in practice. Ultimately, we set certain conditions under which directed deceased donation may be ethically acceptable. We restrict our discussion to the allocation of organs to recipients already on the waiting list.

KW - Organ donation

KW - directed deceased donation

KW - ethics

KW - law

KW - family

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EP - 338

JO - Journal of the Intensive Care Society

JF - Journal of the Intensive Care Society

IS - 3

ER -

When is directed deceased donation justified? Practical, ethical, and legal issues

Abstract

Keywords

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