Body donation for research and teaching purposes: operational criteria and ethical aspects

Main Article Content

Rosagemma Ciliberti
Matteo Gulino https://orcid.org/0000-0002-0146-1314
Gianluca Montanari Vergallo
Alessandro Bonsignore

Keywords

Body donation, Research and education, Dissection, Organ donation, Italian law no. 10/2020, Ethics

Abstract

Italy continues to legislate on the donation of one’s body and post-mortem tissues for the purposes of study, education, and scientific research. With the new Regulation n. 47 dated February 10, 2023, specific rules have been established regarding the activities of research centers, the procedures for receiving bodies, and the criteria for exclusion. Additionally, the regulation outlines initiatives that regions and local health authorities must adopt to promote donation policies among healthcare professionals and citizens. This new regulation represents a significant advancement for the anatomical community, providing practical guidelines for body donation programs.


In these educational initiatives, universities and reference centers also play a central role as they can engage in informative and ongoing dialogue with the community. This dialogue aims to help dispel psychological barriers, irrational fears, and concerns surrounding body donation.


This article briefly presents the new Italian regulatory framework, highlighting the main critical issues and ethical dilemmas. Furthermore, it discusses some ethical and deontological concerns of the new rules that require improvement, and provides recommendations for good practices.

Abstract 135 | PDF Downloads 61

References

1. DPR 10 febbraio 2023, n. 47. Regolamento recante norme in materia di disposizione del proprio corpo e dei tessuti post mortem a fini di studio, di formazione e di ricerca scientifica, (23G00055). GU Serie Generale n. 99 del 28-04-2023.
2. Maghin F, Conti A. Body donation in Italy: an important breakthrough with the new law. Anat Sci Educ 2020; 13(6):800–3.
3. Ciliberti R, Bonsignore A, Molinelli A, Ventura F, Licata M. How Italy has moved from anatomical studies in the sixteenth century to body donation in the twenty-first century. Ann Ital Chir 2020; 91:17.
4. Boscolo-Berto R, Porzionato A, Stecco C, Macchi V, De Caro R. Body donation in Italy: Lights and shadows of law No. 10/2020. Clin Anat 2020; 33(6):950–9.
5. De Caro R, Boscolo-Berto R, Artico M, Bertelli E, Cannas M, et al. The Italian law on body donation: A position paper of the Italian College of Anatomists. Ann Anat 2021; 238:151761.
6. Ciliberti R, Martini M, Bonsignore A, Penco S. Break with tradition: donating cadavers for scientific purposes and reducing the use of sentient beings Ann Ist Super Sanità 2016; 52(2): 261–8.
7. Martini M, Penco S, Baldelli I, Biolatti B, Ciliberti R. An ethics for the living world: Operation methods of animal ethics committees in Italy. Ann Ist Super Sanità 2015; 51(3):244–7.
8. Ciliberti R, Bonsignore A, Bonzano C et al. Taking care of life: the new Italian law on post-mortem donation for study purposes, training and scientific research. Ann Anat 2021; 236:151712.
9. Baldelli I, Massaro A, Penco S, Bassi AM, Patuzzo S, Ciliberti R. Conscientious objection to animal experimentation in Italian universities. Animals (Basel) 2017; 7(3):24.
10. Ciliberti R, Alfano L, Baldelli I, De Stefano F, Bonsignore A. Self-determination, healthcare treatment and minors in Italian clinical practice: ethical, psychological, juridical and medical–legal profiles. Acta Biomed 2018; 89(1):34–40.
11. Ciliberti R, Gulino M, Gorini I. New Italian law about end of life: Self–determination and shared care pathway [La nuova normativa italiana sul fine vita: L’autodeterminazione e la condivisione del percorso di cura] Recenti Progr Med 2018; 109(5): 267–71.
12. Montanari Vergallo G, Spagnolo AG. Informed Consent and Advance Care Directives: Cornerstones and Outstanding Issues in the Newly Enacted Italian Legislation. Linacre Q. 2019; 86(2-3):188–197.
13. Holmes B. The Iliad’s Economy of Pain. Trans Am Philol 2007; 137: 45–84.
14. Hacker-Wright J. Human Nature, Personhood, and Ethical Naturalism. Philosophy 2009; 84(329):413–27.
15. Battistuzzi L, Ciliberti R, Bruno W, Turchetti D, Varesco L, De Stefano F. Communication of clinically useful next-generation sequencing results to at-risk relatives of deceased research participants: Toward active disclosure? J Clin Oncol 2013; 31(32):4164–5.
16. Ciliberti R, Monza F, De Stefano F, Licata M. The trial of the skull studied by the founder of Criminal Anthropology: The war of the Lombroso Museum. J Forensic Leg Med 2018; 59:13–5.
17. Battistuzzi L, Ciliberti R, Forzano F, De Stefano F. Regulating the communication of genetic risk information: The Italian legal approach to questions of confidentiality and disclosure. Clin Genet 2012; 82(3):205–9.
18. Montanari Vergallo G. Advance Healthcare Directives: Binding or Informational Value? Camb Q Healthc Ethics 2020; 29(1):98–109.
19. Patuzzo S, De Stefano F, Ciliberti R. The Italian code of medical deontology. Historical, ethical and legal issues. Acta Biomed 2018; 89 (2):157–64.
20. Ciliberti R, Gulino M, Gazzaniga V, Gallo F, Vellone, VG, et al. A Survey on the Knowledge and Attitudes of Italian Medical Students toward Body Donation: Ethical and Scientific Considerations. J Clin Med 2018; 7(7):168.
21. Dipartimento di Scienze biomediche e neuromotorie (DIBINEM), programma di donazione corpo Univeristà di Bologna. https://dibinem.unibo.it/it/terza-missione/donazioni-liberali/programma-per-la-donazione-del-corpo.
22. Dipartimento di neuroscienze, Università di Padova. Donarsi alla scienza, una scelta di vita. https://www.neuroscienze.unipd.it/ricerca/donarsi-alla-scienza-una-scelta-di-vita.
23. Bolcato V, Belli G, Franzetti C, Tronconi LP, Monti MC, Puci M, Morini L. Survey on Health Students’ Knowledge and perception on body donation for scientific research, education, and training after specific Italian law n. 10/2020. https://ssrn.com/abstract=4432431.
24. Orsini E, Quaranta M, Ratti S, et al. The whole body donation program at the university of Bologna: A report based on the experience of one of the oldest university in Western world. Ann Anat 2021; 234:151660.
25. Naidoo N, Al-Sharif GA, Khan R, Azar A, Omer A. In death there is life: perceptions of the university community regarding body donation for educational purposes in the United Arab Emirates. Heliyon 2021; 7(7):e07650.
26. Pawlina W, Hammer RR, Strauss JD, Heath SG, Zhao KD, et al. The hand that gives the rose. Mayo Clin Proc 201; 86(2):139–44.
27. Guo K, Luo T, Zhou LH, Xu D, Zhong G, Wang H, Xu J, Chu G. Cultivation of humanistic values in medical education through anatomy pedagogy and gratitude ceremony for body donors. BMC Med Educ 2020; 20(1):440.
28. Guo K, Luo T, Zhou LH, Xu D, Zhong G, Wang H, Xu J, Chu G. Cultivation of humanistic values in medical education through anatomy pedagogy and gratitude ceremony for body donors. BMC Med Educ 2020; 20(1):440.
29. Montanari Vergallo G, Masotti V, Marinelli E. Body donation in Italy and the issue of consent: Operational suggestions. Leg Med (Tokyo) 2023; 60:102172