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Comment & Response
October 20, 2015

Organ Donation After Circulatory Death

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

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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