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规范已故捐赠者器官和组织用于移植的捐赠、获取和分配流程的全球立法:一项范围综述。

Global legislation regulating the donation, procurement and distribution processes of organs and tissues from deceased donors for transplants: A scoping review.

作者信息

Silva Aline Moraes da, Benites Patrícia Trindade, Zulin Maria Eduarda Gonçalves, Ferreira Júnior Marcos Antonio, Cardoso Andréia Insabralde de Queiroz, Cury Elenir Rose Jardim

机构信息

Doctoral student in Health and Development of the Midwest Region at the Federal University of Mato Grosso do Sul, Campo Grande, MS, Brazil.

Universitary Hospital Maria Aparecida Pedrossian, Brazil.

出版信息

Heliyon. 2024 Feb 11;10(4):e26313. doi: 10.1016/j.heliyon.2024.e26313. eCollection 2024 Feb 29.

Abstract

INTRODUCTION

Organ transplantation is one of the most successful advances in modern medicine. However, a legal system is necessary for its practice to be free from ethical flaws and to respect donors, recipients, and family members.

OBJECTIVE

To map the global legislation regulating the donation, capture and distribution processes of organs and tissues from deceased donors for transplants.

METHOD

A scoping review according to the Joanna Briggs Institute was conducted in the following databases: Medline, CINAHL, Virtual Health Library, SCOPUS, Web of Science, Science Direct, and EMBASE, as well as gray literature, and reported according to the PRISMA extension for scoping reviews.

RESULTS

We identified 3302 records, of which 77 were analyzed which enabled mapping the type of consent adopted and the existence of current legislation for harvesting organs and tissues after circulatory and brain death.

CONCLUSION

consent predominates in Europe, and there is harvesting after brain and circulatory death. predominates in the Americas, while and harvesting of organs and tissues after brain death predominate in Asia and Oceania. The procurement of organs and tissues from deceased donors is practically non-existent in Africa.

摘要

引言

器官移植是现代医学最成功的进展之一。然而,需要一个法律体系来确保其实践没有伦理缺陷,并尊重捐赠者、接受者和家庭成员。

目的

梳理全球规范已故捐赠者器官和组织用于移植的捐赠、获取及分配过程的立法情况。

方法

按照乔安娜·布里格斯研究所的方法,在以下数据库进行了范围综述:医学文献数据库(Medline)、护理学与健康领域数据库(CINAHL)、虚拟健康图书馆、科学引文数据库(SCOPUS)、科学网、科学直连数据库以及荷兰医学文摘数据库(EMBASE),同时纳入灰色文献,并根据范围综述的PRISMA扩展报告。

结果

我们识别出3302条记录,其中77条被分析,这使得能够梳理出采用的同意类型以及当前关于循环和脑死亡后器官和组织获取的立法情况。

结论

欧洲以同意为主,存在脑死亡和循环死亡后获取器官的情况。美洲以 为主,而亚洲和大洋洲以脑死亡后器官和组织的获取为主。非洲几乎不存在从已故捐赠者获取器官和组织的情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d86/10875591/926b8104ef71/gr1.jpg

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