News Release

Clinical manual addresses how to approach organ donation after euthanasia

Peer-Reviewed Publication


A new practical manual addresses the controversial topic of organ donation after euthanasia, providing guidance to clinicians whose patients have requested euthanasia and the desire to offer their organs to others in need. The manual is published in the American Journal of Transplantation.

Around the globe, euthanasia or assisted suicide is increasingly being considered a legal right for patients with certain devastating medical conditions. In some situations, patients who wish to pursue euthanasia may also request that their organs be donated after their death. With this in mind, Jan Bollen, LLM, MD, PhD student, of the Maastricht University Medical Center in the Netherlands, and his colleagues developed a manual for situations in which euthanasia can be combined with organ donation.

"Euthanasia itself remains an ethical subject surrounded by controversy, but the members of our working group attempted to be nonjudgmental regarding this issue," said Bollen. "Since organ donation after euthanasia is legally possible in the Netherlands, we were however convinced it was wise to create a practical manual. Even though it was first intended as a regional manual, it is now being used by various hospitals in the Netherlands. It does not focus on ethical questions, although these should be carefully identified and subsequently addressed." For example, should a physician, when seeing a patient who wishes to undergo euthanasia, address the possibility of organ donation? And what if a patient wants to donate his or her heart by having it removed while under general anesthesia, essentially performing euthanasia by removing the heart?

The manual provides a framework of the medical and logistical aspects of donation after euthanasia within the medical, legal, and ethical boundaries of Dutch law. "If a patient would ask his treating physician to undergo euthanasia and donate organs, our practical manual contributes to the knowledge of this physician that organ donation after euthanasia is a real option, and that he or she knows what steps to follow," said Bollen.


Full citation: "Organ donation after euthanasia: A Dutch practical manual." Jan Bollen, Wim de Jongh, Hanneke Hagenaars, Gert van Dijk, Rankie ten Hoopen, Dirk Ysebaert, Jan Ijzermans, Ernst van Heurn, and Walther van Mook. American Journal of Transplantation; Published Online: Feb. 23, 2016 (DOI: 10.1111/ajt.13746).

URL Upon Publication:

About the Author:

To arrange an interview with the author, please contact Nieky van Steenkiste, of the Maastricht University Medical Center's media office, at, 0031433877114 or 0031612633098 (cell).

About the Journal:

American Journal of Transplantation (AJT) is the official journal of the American Society of Transplantation (AST) and the American Society of Transplant Surgeons (ASTS). This #1 ranked transplantation journal serves as a forum for debate and re-assessment and is a major platform for promoting understanding, improving results and advancing science in this dynamic field. Published monthly, AJT provides an essential resource for researchers and clinicians around the world. Find out more at

About Wiley

Wiley is a global provider of knowledge and knowledge-enabled services that improve outcomes in areas of research, professional practice and education. Through the Research segment, the Company provides digital and print scientific, technical, medical, and scholarly journals, reference works, books, database services, and advertising. The Professional Development segment provides digital and print books, online assessment and training services, and test prep and certification. In Education, Wiley provides education solutions including online program management services for higher education institutions and course management tools for instructors and students, as well as print and digital content. The Company's website can be accessed at

Disclaimer: AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert system.