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More organs are being donated after the heart stops, not brain death. Policies are changing too

  • On Thursday, researchers reported in JAMA that donation after circulatory death accounted for 49% of U.S. deceased donors last year, up from 2% in 2000.
  • Technology has helped expand DCD use as improved preservation methods keep organs viable while the heartbeat winds down amid over 100,000 patients waiting and just over 49,000 transplants last year.
  • In practice, DCD begins when life support is withdrawn, the heart stops, and physicians who declare death wait five minutes before organ retrieval, which fails if death exceeds about two hours; normothermic regional perfusion preserves organs but raises ethical questions.
  • Federal officials are preparing new rules as the Health Resources and Services Administration and Organ Procurement Organizations develop safeguards, including family education and pause calls amid shaken public trust, Association president Jeff Trageser said.
  • Policymakers face trade-offs as they consider changes because if severely restricted, there would be significant repercussions for patients awaiting transplants, with just over 49,000 transplants performed last year.
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The Toronto StarThe Toronto Star
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More organs are being donated after the heart stops, not brain death. Policies are changing too

WASHINGTON (AP) — The vast majority of organ donations once came from people who were brain-dead. Now they're increasingly coming from people who died when their heart stopped beating, a

·Toronto, Canada
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The Record broke the news in Waterloo, Canada on Thursday, February 26, 2026.
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