法医死亡中的器官获取:对意大利情况的回顾性分析,重点是普利亚大区的成功经验

IF 1.2 4区 医学 Q3 MEDICINE, LEGAL
Sara Sablone , Chiara Musajo Somma , Federico Ruta , Mara Bellino , Tommaso Ciciriello , Michele Saracino , Riccardo Attimonelli Petraglione , Giampiero Michelangeli , Andrea Gianelli Castiglione , Massimo Cardillo , Francesco Introna , Loreto Gesualdo
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引用次数: 0

摘要

器官移植是现代医学对社会最重要的贡献之一,因为它为终末器官衰竭提供了一种独特的疗法。然而,器官供应有限阻碍了这种治疗方法的发展。在意大利,器官获取需要采用多学科的内外科方法,其中法医(LMD)通常负责确定死亡的真实性。有时,如果死者家属不同意从潜在的死者捐献者身上摘取器官和组织,则需要医学法律报告。法律也可以指定法医对可能的死者捐献者进行尸检。在这些情况下,检察官为法医目的保护尸体完整性的利益似乎与最多促进捐赠机会的伦理-人道主义利益相冲突;然而,法医官可以充当调解人,实现这两个目标。本文旨在说明阿普利亚地区在协调司法利益与促进死者器官和组织捐献文化利益方面的经验。本文通过分析 2015 年一项重要举措前后法医死亡中的良性地区器官采购趋势,将结果与国家结果进行比较,并将其纳入相关文献,以显示系统性的优势和劣势,并为意大利未来的政策制定提供参考。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Organ procurement in forensic deaths: A retrospective analysis of the Italian context with a focus on the Puglia Region virtuous experience

Organ transplantation is one the most important contributions of modern medicine to society since it provides a unique therapy for terminal organ failure. However, the development of this therapeutic approach is hindered by the limited organ supply. In Italy, organ procurement requires a multidisciplinary medical-surgical approach in which legal medical doctors (LMDs) are generally tasked with ascertaining the reality of death. Sometimes, a medico-legal report is required when the deceased's family deny their consent to the organs and tissues removal from a potential deceased donor. LMDs can also be appointed by law to carry out post-mortem examinations of potential deceased donors. In these cases, the public prosecutors' interest in preserving the corpse integrity for forensic purposes seems to conflict with the ethical-humanitarian interest in promoting, at most, the opportunity to donate; however, a LMD can act as a mediator and allow both goals. This paper aims to illustrate the Apulia Region experience in reconciling the justice interests with those of a culture promoting deceased organ and tissue donation. It has been pursued by analyzing the virtuous regional organ procurement trend in forensic deaths before and after a crucial 2015 initiative, comparing the results with the national ones, and contextualizing them in the relevant literature to show systemic strengths and weaknesses and inform future Italian policy development.

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来源期刊
CiteScore
2.70
自引率
6.70%
发文量
106
审稿时长
57 days
期刊介绍: The Journal of Forensic and Legal Medicine publishes topical articles on aspects of forensic and legal medicine. Specifically the Journal supports research that explores the medical principles of care and forensic assessment of individuals, whether adult or child, in contact with the judicial system. It is a fully peer-review hybrid journal with a broad international perspective. The Journal accepts submissions of original research, review articles, and pertinent case studies, editorials, and commentaries in relevant areas of Forensic and Legal Medicine, Context of Practice, and Education and Training. The Journal adheres to strict publication ethical guidelines, and actively supports a culture of inclusive and representative publication.
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