Policy on Posthumous Sperm Retrieval: Survey of 75 Major Academic Medical Centers
Policy on Posthumous Sperm Retrieval: Survey of 75 Major Academic Medical Centers
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DOI：
10.1016/j.urology.2017.10.048
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发表时间：
2018-03-01
期刊：
影响因子：
2.1
通讯作者：
Ramasamy, Ranjith
中科院分区：
文献类型：
--
作者：
Waler, Nicholas J.;Clavijo, Raul I.;Ramasamy, Ranjith
目的评估美国75个主要学术医疗中心死后精子提取政策的存在和内容材料和方法我们使用基于问卷的电话/网络调查对《美国新闻与世界报道》2016年排名前75位的主要学术医疗中心进行了调查。我们在互联网上收集了关于死后精子检索政策的存在和内容的数据。如果没有发表，我们联系了法律的顾问，伦理和合规办公室，泌尿科，以及与每个机构相关的不孕不育治疗中心。此外，我们还调查了男性生殖和泌尿学协会的成员。结果我们收集了75个主要学术医疗中心中的41个关于死后取精的数据。在41家机构中，只有11家（26.8%）制定了关于死后取精的政策。在这11个中心中，4个需要事先书面同意，而其余6个允许幸存的生活伴侣的口头或推断同意。一项政策禁止了这一程序。在这项调查中，有五项政策包括丧亲期。的30个（73.2%）中心没有政策，缺乏法律的指导被引用为最常见的障碍，政策administration.CONCLUSION只有一小部分的主要学术医疗中心有死后精子检索的政策。医疗中心可以根据专业协会发布的指南采取个性化政策。(C)2017爱思唯尔公司
OBJECTIVE To evaluate the presence and content of policies on posthumous sperm retrieval at 75 major academic medical centers in the U.S.MATERIALS AND METHODS We surveyed the top 75 major academic medical centers ranked for research in 2016 by U.S. News & World Report using a questionnaire- based telephone/web survey. We gathered data on the presence and content of posthumous sperm retrieval policies on the Internet. If not published, we contacted the legal counsel, the ethics and compliance offices, the urology department, as well as the infertility treatment center associated with each institution. In addition, we also surveyed members of the Society for Male Reproduction and Urology.RESULTS We gathered data regarding posthumous sperm retrieval from 41 out of the 75 major academic medical centers. Of the 41 institutions, only 11 (26.8%) had policies regarding posthumous sperm retrieval. Out of those 11 centers, 4 required prior written consent, whereas the remaining 6 allowed for verbal or inferred consent from the surviving life partner. One policy prohibited the procedure. Five of the policies in this survey included a bereavement period. Of the 30 (73.2%) centers without policies, lack of legal guidance was cited as the most common barrier to policy adoption.CONCLUSION Only a small proportion of major academic medical centers have policies on posthumous sperm retrieval. Medical centers can adopt individualized policies based on guidelines published by professional societies. (C) 2017 Elsevier Inc.