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Maastricht criteria III in the global context: a systematic review of development and implementation

The result's identifiers

  • Result code in IS VaVaI

    <a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F60076658%3A12110%2F25%3A43911068" target="_blank" >RIV/60076658:12110/25:43911068 - isvavai.cz</a>

  • Alternative codes found

    RIV/00216208:11140/25:10507172

  • Result on the web

    <a href="https://czasopisma.umlub.pl/piel21w/article/view/3170/3149" target="_blank" >https://czasopisma.umlub.pl/piel21w/article/view/3170/3149</a>

  • DOI - Digital Object Identifier

    <a href="http://dx.doi.org/10.12923/pielxxiw-2025-0039" target="_blank" >10.12923/pielxxiw-2025-0039</a>

Alternative languages

  • Result language

    angličtina

  • Original language name

    Maastricht criteria III in the global context: a systematic review of development and implementation

  • Original language description

    This review examines the development and implementation of the Maastricht Criteria III in controlled (cDCD) and uncontrolled (uDCD) Donation after Circulatory Death in various healthcare systems, evaluates compliance with the no-touch interval, and the influence of opt-in versus opt-out consent models on the availability and use of donor organs. Material and methods. Following Evidence-Based Practice principles, a systematic search was performed in full-text electronic databases covering healthcare, bioethics, and transplantation sciences. Peer-reviewed, full-text studies relevant to DCD classification and clinical application were included. Additionally, a critical methodological quality appraisal of all included studies was conducted using a standardised tool, thereby enhancing the robustness of our conclusions. Results. Eleven studies met inclusion criteria, addressing DCD classification, consent frameworks, no-touch interval adherence, and organ procurement impact. Substantial international variability emerged: presumed consent (opt-out) systems achieved higher donor conversion rates, whereas extended no-touch intervals detrimentally affected organ viability. Conclusions. This review presents a structured analysis of Maastricht Criteria III application, particularly in Europe. cDCD follows increasingly standardised protocols, while uDCD remains inconsistently implemented due to ethical and logistical challenges. To enhance donor identification, organ utilisation, and transplantation outcomes, it is essential to standardise protocols, refine ischemia-mitigation techniques, and strengthen international collaboration.

  • Czech name

  • Czech description

Classification

  • Type

    J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database

  • CEP classification

  • OECD FORD branch

    30307 - Nursing

Result continuities

  • Project

  • Continuities

    I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Others

  • Publication year

    2025

  • Confidentiality

    S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Data specific for result type

  • Name of the periodical

    Pielegniarstwo XXI Wieku-Nursing in the 21 Century

  • ISSN

    1730-1912

  • e-ISSN

    2450-646X

  • Volume of the periodical

    24

  • Issue of the periodical within the volume

    4

  • Country of publishing house

    PL - POLAND

  • Number of pages

    7

  • Pages from-to

    332-338

  • UT code for WoS article

    001687116700007

  • EID of the result in the Scopus database

    2-s2.0-105028402463