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循环死亡后捐献的伦理问题:从1993年到2022年的时间变化审查范围审查

Briget da Graca¹, Trevor Borries¹, Heather Polk¹

¹Baylor Scott & White Research Institute, Dallas, TX, USA.

AJOB empirical bioethics

|June 21, 2023

概括

在循环死亡 (DCD) 之后对器官捐赠的伦理讨论显示出差异. 最近的进展,如心脏DCD和正常热区域 perfusion (NRP) 正在推动新的伦理考虑.

科学领域:

医学伦理医学伦理
移植医学移植医学
生物伦理学生物伦理学

背景情况:

循环死亡 (DCD) 后器官捐献的既定伦理框架已经有20多年了.
这些框架存在显著的差异,表明在关键的伦理问题上缺乏普遍共识.
最近的进展,包括心脏DCD移植和正常热区域 perfusion (NRP),已经恢复了伦理辩论.

研究的目的:

分析在循环死亡 (DCD) 后器官捐献中道德原则及其子主题的演变.
随着时间的推移,追踪伦理原则讨论频率的变化.
确定与DCD进步相关的新兴伦理问题.

主要方法:

从1993年到2022年对DCD伦理问题的英语文学进行系统审查.
在文献中讨论的伦理原则的频率和子主题的分析.
对不同时期的出版趋势进行比较.

主要成果:

非恶性是最常讨论的伦理原则 (192/199文章),表现出最大的多样性与9个子主题.
其他生物伦理原则在较少的子主题 (2-4) 中进行了讨论.
最近的出版物 (2018-2022) 显示了对心脏DCD (11个出版物) 和NRP (19个出版物) 的兴趣增加.

结论:

与DCD相关的术语随着时间的推移而演变.
心脏DCD和NRP代表了器官捐献中的重要当代伦理考虑.
需要进一步的研究和达成共识,以应对DDC不断变化的伦理挑战.

关键词:

伦理学伦理学伦理学自主性自主性自主性在循环死亡后的捐赠.没有恶性的非恶性.器官移植器官移植器官移植器官移植器官移植器官范围审查范围审查审查

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