{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T12:37:41Z","timestamp":1788439061503,"version":"build-2803163510"},"reference-count":0,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2021,11,13]],"date-time":"2021-11-13T00:00:00Z","timestamp":1636761600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Developing World Bioethics"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Organ transplantation is a lifesaving procedure for end\u2010organ damage and remains up to today as the most cost\u2010effective alternative to treat these conditions. However, the main limitation to performing organ transplants is the availability of donor organs suitable for transplantation. To increase the donor pool, expanding organ donation from the conventional neurologic determination of death (NDD) to include circulatory determination of death (DCD) has been a well\u2010established method of increasing donors in other countries. In this article, we discuss the clinical and ethical considerations for introducing DCD in Chile. The concepts we have used could very well be translatable to other similar countries which have not implemented this donation system yet. The most relevant issue to date is that DCD needs to alter the care of dying patients to obtain quality donor organs. In some countries, including Chile, there are some cultural barriers regarding withdrawal\u2010of\u2010care. These barriers include confusing <jats:italic>withdrawal of care<\/jats:italic> with <jats:italic>acceleration of death<\/jats:italic>, which leads to many practitioners refusing to remove artificial life support, and in turn only minimize ventilatory support or switch to a T\u2010tube (without extubation). This cultural barrier could be overcome with careful consideration of the opinions of healthcare workers, family members, community and policy\u2010based stakeholders. We also identified ethical issues related to informed consent of both donor and recipients, among other relevant ethical considerations. In conclusion, DCD donation in Chile can increase organ donation numbers in one of Latin America's countries with the lowest effective donor rate. However, this opportunity must be taken with caution to avoid the opposite effect if this policy is not well implemented, respecting the sound ethical principles mentioned in this paper.<\/jats:p>","DOI":"10.1111\/dewb.12338","type":"journal-article","created":{"date-parts":[[2021,11,13]],"date-time":"2021-11-13T13:17:54Z","timestamp":1636809474000},"page":"259-266","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Ethical issues of organ donation after circulatory death: Considerations for a successful implementation in Chile"],"prefix":"10.1111","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6949-4705","authenticated-orcid":false,"given":"Pablo","family":"P\u00e9rez Castro","sequence":"first","affiliation":[{"name":"Transplant Center Clinica Alemana de Santiago\u2010Universidad del Desarrollo  Santiago Chile"},{"name":"Department of Surgery Universidad de Chile  Santiago Chile"},{"name":"Master of Public Health Program Johns Hopkins University  Baltimore Maryland United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7865-291X","authenticated-orcid":false,"given":"Sof\u00eda P.","family":"Salas","sequence":"additional","affiliation":[{"name":"Department of Bioethics Universidad del Desarrollo  Santiago Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,11,13]]},"container-title":["Developing World Bioethics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/dewb.12338","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/dewb.12338","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/dewb.12338","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,21]],"date-time":"2023-08-21T18:56:17Z","timestamp":1692644177000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/dewb.12338"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,11,13]]},"references-count":0,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2022,12]]}},"alternative-id":["10.1111\/dewb.12338"],"URL":"https:\/\/doi.org\/10.1111\/dewb.12338","archive":["Portico"],"relation":{},"ISSN":["1471-8731","1471-8847"],"issn-type":[{"value":"1471-8731","type":"print"},{"value":"1471-8847","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,11,13]]},"assertion":[{"value":"2021-06-15","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-10-12","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-11-13","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}