Canadians’ perceptions about heart donation after death by circulatory criteria: a mixed methods study
- 15.07.2025
- Reports of Original Investigations
Erschienen in:
- Verfasst von
- Kimia Honarmand, MD, PhD
- Ian Ball, MD, MSc
- Maureen O. Meade, MD, MSc
- Aimee J. Sarti, MD
- Sydni Paleczny, BSc, MSc
- Danielle LeBlanc, BSc, MSc
- John Basmaji, MD
- Emilie P. Belley-Côté, MD, PhD
- Michaël Chassé, MD, PhD
- Fred D’Aragon, MD, MSc
- Gordon Guyatt, MD, MSc
- Bram Rochwerg, MD, MSc
- Sam D. Shemie, MD
- Robert Sibbald, MSc
- Marat Slessarev, MD, PhD
- Mathew J. Weiss, MD
- Jeanna Parsons Leigh, PhD
Abstract
Purpose
Cardiac donation after death determination by circulatory criteria (DCC) can be performed using either direct procurement and perfusion (DPP) or normothermic regional perfusion (NRP). If broadly implemented in Canada, these procedures have the potential to reduce the cardiac transplant wait list. We aimed to evaluate the perspectives of Canadians on cardiac DCC.
Methods
We performed a convergent design mixed methods study involving 21 focus groups and surveys of 109 adults in Canada on the topic of cardiac DCC.
Results
We found that participants were broadly supportive of both cardiac DCC protocols. Principle concerns about DPP included relatively impaired heart quality, while concerns about NRP included the perception that the procedure may be invasive and may not be acceptable to other Canadians, including donor families. Participants who self-identified as second-generation immigrants were concerned about potential lack of support for cardiac DCC, especially NRP, by other Canadians. Participants suggested strategies to increase support for organ donation and cardiac DCC specifically, including mass media campaigns, educational initiatives, encouraging the public to discuss end-of-life wishes with family members, and enlisting primary care providers and community leaders to advance public knowledge and support.
Conclusions
In this mixed methods study of people living in Canada, we found broad support for cardiac DCC. Concerns were primarily related to heart quality in DPP and perceived invasiveness of NRP. Participants identified mass media campaigns, educational material, and engagement of primary care providers and community leaders as strategies to garner support for cardiac DCC.
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- Titel
- Canadians’ perceptions about heart donation after death by circulatory criteria: a mixed methods study
- Verfasst von
-
Kimia Honarmand, MD, PhD
Ian Ball, MD, MSc
Maureen O. Meade, MD, MSc
Aimee J. Sarti, MD
Sydni Paleczny, BSc, MSc
Danielle LeBlanc, BSc, MSc
John Basmaji, MD
Emilie P. Belley-Côté, MD, PhD
Michaël Chassé, MD, PhD
Fred D’Aragon, MD, MSc
Gordon Guyatt, MD, MSc
Bram Rochwerg, MD, MSc
Sam D. Shemie, MD
Robert Sibbald, MSc
Marat Slessarev, MD, PhD
Mathew J. Weiss, MD
Jeanna Parsons Leigh, PhD
- Publikationsdatum
- 15.07.2025
- Verlag
- Springer International Publishing
- Erschienen in
-
Canadian Journal of Anesthesia/Journal canadien d'anesthésie / Ausgabe 8/2025
Print ISSN: 0832-610X
Elektronische ISSN: 1496-8975 - DOI
- https://doi.org/10.1007/s12630-025-02998-0
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