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Guideline

Deceased organ and tissue donation after medical assistance in dying and other conscious and competent donors: guidance for policy

James Downar, Sam D. Shemie, Clay Gillrie, Marie-Chantal Fortin, Amber Appleby, Daniel Z. Buchman, Christen Shoesmith, Aviva Goldberg, Vanessa Gruben, Jehan Lalani, Dirk Ysebaert, Lindsay Wilson and Michael D. Sharpe; for Canadian Blood Services, the Canadian Critical Care Society, the Canadian Society of Transplantation and the Canadian Association of Critical Care Nurses
CMAJ June 03, 2019 191 (22) E604-E613; DOI: https://doi.org/10.1503/cmaj.181648
James Downar
Division of Palliative Care, Department of Medicine (Downar), University of Ottawa, Ottawa, Ont.; Department of Critical Care (Downar), The Ottawa Hospital, Ottawa, Ont.; Department of Pediatrics (Shemie), McGill University, Montréal, Que.; Canadian Blood Services (Shemie, Gillrie, Appleby, Lalani, Wilson), Ottawa, Ont.; Bioethics Program (Fortin), Department of Social and Preventive Medicine, École de santé publique de l’Université de Montréal, Montréal, Que.; Dalla Lana School of Public Health (Buchman), University of Toronto, Toronto, Ont.; Department of Neurology (Shoesmith), Western University, London, Ont.; Department of Pediatrics and Child Health (Goldberg), University of Manitoba, Winnipeg, Man.; Faculty of Law (Gruben), University of Ottawa, Ottawa, Ont.; Faculty of Medicine (Ysebaert), University of Antwerp, Antwerp, Belgium; Department of Anesthesia and Perioperative Medicine (Sharpe), Schulich School of Medicine, Western University, London, Ont.
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Sam D. Shemie
Division of Palliative Care, Department of Medicine (Downar), University of Ottawa, Ottawa, Ont.; Department of Critical Care (Downar), The Ottawa Hospital, Ottawa, Ont.; Department of Pediatrics (Shemie), McGill University, Montréal, Que.; Canadian Blood Services (Shemie, Gillrie, Appleby, Lalani, Wilson), Ottawa, Ont.; Bioethics Program (Fortin), Department of Social and Preventive Medicine, École de santé publique de l’Université de Montréal, Montréal, Que.; Dalla Lana School of Public Health (Buchman), University of Toronto, Toronto, Ont.; Department of Neurology (Shoesmith), Western University, London, Ont.; Department of Pediatrics and Child Health (Goldberg), University of Manitoba, Winnipeg, Man.; Faculty of Law (Gruben), University of Ottawa, Ottawa, Ont.; Faculty of Medicine (Ysebaert), University of Antwerp, Antwerp, Belgium; Department of Anesthesia and Perioperative Medicine (Sharpe), Schulich School of Medicine, Western University, London, Ont.
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Clay Gillrie
Division of Palliative Care, Department of Medicine (Downar), University of Ottawa, Ottawa, Ont.; Department of Critical Care (Downar), The Ottawa Hospital, Ottawa, Ont.; Department of Pediatrics (Shemie), McGill University, Montréal, Que.; Canadian Blood Services (Shemie, Gillrie, Appleby, Lalani, Wilson), Ottawa, Ont.; Bioethics Program (Fortin), Department of Social and Preventive Medicine, École de santé publique de l’Université de Montréal, Montréal, Que.; Dalla Lana School of Public Health (Buchman), University of Toronto, Toronto, Ont.; Department of Neurology (Shoesmith), Western University, London, Ont.; Department of Pediatrics and Child Health (Goldberg), University of Manitoba, Winnipeg, Man.; Faculty of Law (Gruben), University of Ottawa, Ottawa, Ont.; Faculty of Medicine (Ysebaert), University of Antwerp, Antwerp, Belgium; Department of Anesthesia and Perioperative Medicine (Sharpe), Schulich School of Medicine, Western University, London, Ont.
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Marie-Chantal Fortin
Division of Palliative Care, Department of Medicine (Downar), University of Ottawa, Ottawa, Ont.; Department of Critical Care (Downar), The Ottawa Hospital, Ottawa, Ont.; Department of Pediatrics (Shemie), McGill University, Montréal, Que.; Canadian Blood Services (Shemie, Gillrie, Appleby, Lalani, Wilson), Ottawa, Ont.; Bioethics Program (Fortin), Department of Social and Preventive Medicine, École de santé publique de l’Université de Montréal, Montréal, Que.; Dalla Lana School of Public Health (Buchman), University of Toronto, Toronto, Ont.; Department of Neurology (Shoesmith), Western University, London, Ont.; Department of Pediatrics and Child Health (Goldberg), University of Manitoba, Winnipeg, Man.; Faculty of Law (Gruben), University of Ottawa, Ottawa, Ont.; Faculty of Medicine (Ysebaert), University of Antwerp, Antwerp, Belgium; Department of Anesthesia and Perioperative Medicine (Sharpe), Schulich School of Medicine, Western University, London, Ont.
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Amber Appleby
Division of Palliative Care, Department of Medicine (Downar), University of Ottawa, Ottawa, Ont.; Department of Critical Care (Downar), The Ottawa Hospital, Ottawa, Ont.; Department of Pediatrics (Shemie), McGill University, Montréal, Que.; Canadian Blood Services (Shemie, Gillrie, Appleby, Lalani, Wilson), Ottawa, Ont.; Bioethics Program (Fortin), Department of Social and Preventive Medicine, École de santé publique de l’Université de Montréal, Montréal, Que.; Dalla Lana School of Public Health (Buchman), University of Toronto, Toronto, Ont.; Department of Neurology (Shoesmith), Western University, London, Ont.; Department of Pediatrics and Child Health (Goldberg), University of Manitoba, Winnipeg, Man.; Faculty of Law (Gruben), University of Ottawa, Ottawa, Ont.; Faculty of Medicine (Ysebaert), University of Antwerp, Antwerp, Belgium; Department of Anesthesia and Perioperative Medicine (Sharpe), Schulich School of Medicine, Western University, London, Ont.
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Daniel Z. Buchman
Division of Palliative Care, Department of Medicine (Downar), University of Ottawa, Ottawa, Ont.; Department of Critical Care (Downar), The Ottawa Hospital, Ottawa, Ont.; Department of Pediatrics (Shemie), McGill University, Montréal, Que.; Canadian Blood Services (Shemie, Gillrie, Appleby, Lalani, Wilson), Ottawa, Ont.; Bioethics Program (Fortin), Department of Social and Preventive Medicine, École de santé publique de l’Université de Montréal, Montréal, Que.; Dalla Lana School of Public Health (Buchman), University of Toronto, Toronto, Ont.; Department of Neurology (Shoesmith), Western University, London, Ont.; Department of Pediatrics and Child Health (Goldberg), University of Manitoba, Winnipeg, Man.; Faculty of Law (Gruben), University of Ottawa, Ottawa, Ont.; Faculty of Medicine (Ysebaert), University of Antwerp, Antwerp, Belgium; Department of Anesthesia and Perioperative Medicine (Sharpe), Schulich School of Medicine, Western University, London, Ont.
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Christen Shoesmith
Division of Palliative Care, Department of Medicine (Downar), University of Ottawa, Ottawa, Ont.; Department of Critical Care (Downar), The Ottawa Hospital, Ottawa, Ont.; Department of Pediatrics (Shemie), McGill University, Montréal, Que.; Canadian Blood Services (Shemie, Gillrie, Appleby, Lalani, Wilson), Ottawa, Ont.; Bioethics Program (Fortin), Department of Social and Preventive Medicine, École de santé publique de l’Université de Montréal, Montréal, Que.; Dalla Lana School of Public Health (Buchman), University of Toronto, Toronto, Ont.; Department of Neurology (Shoesmith), Western University, London, Ont.; Department of Pediatrics and Child Health (Goldberg), University of Manitoba, Winnipeg, Man.; Faculty of Law (Gruben), University of Ottawa, Ottawa, Ont.; Faculty of Medicine (Ysebaert), University of Antwerp, Antwerp, Belgium; Department of Anesthesia and Perioperative Medicine (Sharpe), Schulich School of Medicine, Western University, London, Ont.
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Aviva Goldberg
Division of Palliative Care, Department of Medicine (Downar), University of Ottawa, Ottawa, Ont.; Department of Critical Care (Downar), The Ottawa Hospital, Ottawa, Ont.; Department of Pediatrics (Shemie), McGill University, Montréal, Que.; Canadian Blood Services (Shemie, Gillrie, Appleby, Lalani, Wilson), Ottawa, Ont.; Bioethics Program (Fortin), Department of Social and Preventive Medicine, École de santé publique de l’Université de Montréal, Montréal, Que.; Dalla Lana School of Public Health (Buchman), University of Toronto, Toronto, Ont.; Department of Neurology (Shoesmith), Western University, London, Ont.; Department of Pediatrics and Child Health (Goldberg), University of Manitoba, Winnipeg, Man.; Faculty of Law (Gruben), University of Ottawa, Ottawa, Ont.; Faculty of Medicine (Ysebaert), University of Antwerp, Antwerp, Belgium; Department of Anesthesia and Perioperative Medicine (Sharpe), Schulich School of Medicine, Western University, London, Ont.
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Vanessa Gruben
Division of Palliative Care, Department of Medicine (Downar), University of Ottawa, Ottawa, Ont.; Department of Critical Care (Downar), The Ottawa Hospital, Ottawa, Ont.; Department of Pediatrics (Shemie), McGill University, Montréal, Que.; Canadian Blood Services (Shemie, Gillrie, Appleby, Lalani, Wilson), Ottawa, Ont.; Bioethics Program (Fortin), Department of Social and Preventive Medicine, École de santé publique de l’Université de Montréal, Montréal, Que.; Dalla Lana School of Public Health (Buchman), University of Toronto, Toronto, Ont.; Department of Neurology (Shoesmith), Western University, London, Ont.; Department of Pediatrics and Child Health (Goldberg), University of Manitoba, Winnipeg, Man.; Faculty of Law (Gruben), University of Ottawa, Ottawa, Ont.; Faculty of Medicine (Ysebaert), University of Antwerp, Antwerp, Belgium; Department of Anesthesia and Perioperative Medicine (Sharpe), Schulich School of Medicine, Western University, London, Ont.
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Jehan Lalani
Division of Palliative Care, Department of Medicine (Downar), University of Ottawa, Ottawa, Ont.; Department of Critical Care (Downar), The Ottawa Hospital, Ottawa, Ont.; Department of Pediatrics (Shemie), McGill University, Montréal, Que.; Canadian Blood Services (Shemie, Gillrie, Appleby, Lalani, Wilson), Ottawa, Ont.; Bioethics Program (Fortin), Department of Social and Preventive Medicine, École de santé publique de l’Université de Montréal, Montréal, Que.; Dalla Lana School of Public Health (Buchman), University of Toronto, Toronto, Ont.; Department of Neurology (Shoesmith), Western University, London, Ont.; Department of Pediatrics and Child Health (Goldberg), University of Manitoba, Winnipeg, Man.; Faculty of Law (Gruben), University of Ottawa, Ottawa, Ont.; Faculty of Medicine (Ysebaert), University of Antwerp, Antwerp, Belgium; Department of Anesthesia and Perioperative Medicine (Sharpe), Schulich School of Medicine, Western University, London, Ont.
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Dirk Ysebaert
Division of Palliative Care, Department of Medicine (Downar), University of Ottawa, Ottawa, Ont.; Department of Critical Care (Downar), The Ottawa Hospital, Ottawa, Ont.; Department of Pediatrics (Shemie), McGill University, Montréal, Que.; Canadian Blood Services (Shemie, Gillrie, Appleby, Lalani, Wilson), Ottawa, Ont.; Bioethics Program (Fortin), Department of Social and Preventive Medicine, École de santé publique de l’Université de Montréal, Montréal, Que.; Dalla Lana School of Public Health (Buchman), University of Toronto, Toronto, Ont.; Department of Neurology (Shoesmith), Western University, London, Ont.; Department of Pediatrics and Child Health (Goldberg), University of Manitoba, Winnipeg, Man.; Faculty of Law (Gruben), University of Ottawa, Ottawa, Ont.; Faculty of Medicine (Ysebaert), University of Antwerp, Antwerp, Belgium; Department of Anesthesia and Perioperative Medicine (Sharpe), Schulich School of Medicine, Western University, London, Ont.
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Lindsay Wilson
Division of Palliative Care, Department of Medicine (Downar), University of Ottawa, Ottawa, Ont.; Department of Critical Care (Downar), The Ottawa Hospital, Ottawa, Ont.; Department of Pediatrics (Shemie), McGill University, Montréal, Que.; Canadian Blood Services (Shemie, Gillrie, Appleby, Lalani, Wilson), Ottawa, Ont.; Bioethics Program (Fortin), Department of Social and Preventive Medicine, École de santé publique de l’Université de Montréal, Montréal, Que.; Dalla Lana School of Public Health (Buchman), University of Toronto, Toronto, Ont.; Department of Neurology (Shoesmith), Western University, London, Ont.; Department of Pediatrics and Child Health (Goldberg), University of Manitoba, Winnipeg, Man.; Faculty of Law (Gruben), University of Ottawa, Ottawa, Ont.; Faculty of Medicine (Ysebaert), University of Antwerp, Antwerp, Belgium; Department of Anesthesia and Perioperative Medicine (Sharpe), Schulich School of Medicine, Western University, London, Ont.
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Michael D. Sharpe
Division of Palliative Care, Department of Medicine (Downar), University of Ottawa, Ottawa, Ont.; Department of Critical Care (Downar), The Ottawa Hospital, Ottawa, Ont.; Department of Pediatrics (Shemie), McGill University, Montréal, Que.; Canadian Blood Services (Shemie, Gillrie, Appleby, Lalani, Wilson), Ottawa, Ont.; Bioethics Program (Fortin), Department of Social and Preventive Medicine, École de santé publique de l’Université de Montréal, Montréal, Que.; Dalla Lana School of Public Health (Buchman), University of Toronto, Toronto, Ont.; Department of Neurology (Shoesmith), Western University, London, Ont.; Department of Pediatrics and Child Health (Goldberg), University of Manitoba, Winnipeg, Man.; Faculty of Law (Gruben), University of Ottawa, Ottawa, Ont.; Faculty of Medicine (Ysebaert), University of Antwerp, Antwerp, Belgium; Department of Anesthesia and Perioperative Medicine (Sharpe), Schulich School of Medicine, Western University, London, Ont.
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Article Information

vol. 191 no. 22 E604-E613
DOI 
https://doi.org/10.1503/cmaj.181648
PubMed 
31160497
History 
  • Published online June 2, 2019.
Copyright & Usage 
© 2019 Joule Inc. or its licensors

Author Information

  1. James Downar, MDCM MHSc,
  2. Sam D. Shemie, MD,
  3. Clay Gillrie, RN MSN,
  4. Marie-Chantal Fortin, MD PhD,
  5. Amber Appleby, RN MM,
  6. Daniel Z. Buchman, MSW PhD,
  7. Christen Shoesmith, MD,
  8. Aviva Goldberg, MD MA,
  9. Vanessa Gruben, LLM,
  10. Jehan Lalani, MHA,
  11. Dirk Ysebaert, MD PhD,
  12. Lindsay Wilson, MHA,
  13. Michael D. Sharpe, MD
  14. for Canadian Blood Services, the Canadian Critical Care Society, the Canadian Society of Transplantation and the Canadian Association of Critical Care Nurses
  1. Division of Palliative Care, Department of Medicine (Downar), University of Ottawa, Ottawa, Ont.; Department of Critical Care (Downar), The Ottawa Hospital, Ottawa, Ont.; Department of Pediatrics (Shemie), McGill University, Montréal, Que.; Canadian Blood Services (Shemie, Gillrie, Appleby, Lalani, Wilson), Ottawa, Ont.; Bioethics Program (Fortin), Department of Social and Preventive Medicine, École de santé publique de l’Université de Montréal, Montréal, Que.; Dalla Lana School of Public Health (Buchman), University of Toronto, Toronto, Ont.; Department of Neurology (Shoesmith), Western University, London, Ont.; Department of Pediatrics and Child Health (Goldberg), University of Manitoba, Winnipeg, Man.; Faculty of Law (Gruben), University of Ottawa, Ottawa, Ont.; Faculty of Medicine (Ysebaert), University of Antwerp, Antwerp, Belgium; Department of Anesthesia and Perioperative Medicine (Sharpe), Schulich School of Medicine, Western University, London, Ont.
  1. Correspondence to: James Downar, jdownar{at}toh.ca

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Deceased organ and tissue donation after medical assistance in dying and other conscious and competent donors: guidance for policy
James Downar, Sam D. Shemie, Clay Gillrie, Marie-Chantal Fortin, Amber Appleby, Daniel Z. Buchman, Christen Shoesmith, Aviva Goldberg, Vanessa Gruben, Jehan Lalani, Dirk Ysebaert, Lindsay Wilson, Michael D. Sharpe
CMAJ Jun 2019, 191 (22) E604-E613; DOI: 10.1503/cmaj.181648

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Deceased organ and tissue donation after medical assistance in dying and other conscious and competent donors: guidance for policy
James Downar, Sam D. Shemie, Clay Gillrie, Marie-Chantal Fortin, Amber Appleby, Daniel Z. Buchman, Christen Shoesmith, Aviva Goldberg, Vanessa Gruben, Jehan Lalani, Dirk Ysebaert, Lindsay Wilson, Michael D. Sharpe
CMAJ Jun 2019, 191 (22) E604-E613; DOI: 10.1503/cmaj.181648
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