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[Comment] Cardiac donation after circulatory death: a time to reflect

Heart transplantation is a cost-effective method of enhancing quality of life and survival.1 However, this procedure depends on the generosity and support of the community in making organs available for donation. Unfortunately, the availability of organs is a major challenge, resulting in unnecessary death and suffering. Progress in finding new solutions has been patchy, episodic, and very slow—the number of cardiac and multiorgan donations has remained almost constant during the past 20 years and varies widely between countries.