Abstract
An anencephalic infant is born in North America, an HIV positive adult is declared brain dead in Africa, a convicted murderer is executed by gun shot to the head in Asia, an impoverished farmer offers to sell his kidney on the Indian subcontinent and a comatose stroke victim has life support withdrawn in Europe. Which of these is an acceptable organ donor and which of the hundreds of thousands of persons in the world with organ failure awaiting transplants should receive their organs? These are among the practical ethical issues of modern transplantation.
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References
Preston TA. Who Benefits from the Artificial Heart? Hastings Center Report, February 1985, pp. 5–7.
Ullmann E. Experimentelle Nierentransplantation. Wiener klinische Wochenschrift 1902; 15 (11): 1.
Starzl TE. Will live organ donations no longer be justified? Hastings Center Report, April 1985, p. 5.
Evans M. Organ donations should not be restricted to relatives. J Med Ethics 1989; 15: 17–20.
Shaw LR, Miller JD, Slutsky AS, et al. Ethics of lung transplantation with live donors. Lancet 1991; 338: 678–80.
Elliott C. Doing harm: living organ donors, clinical research and The Tenth Man. J Med Ethics 1995; 21 (2): 91–6.
Pearson IJ. Brain death: ln: Chapman JR, Deierhoi M, Wight C, editors. Organ and tissue donation for transplantation. London: Arnold, 1997; 69–90.
Koretsune Y, Hori M, Sato N, et al. Natural history of patients referred to the Osaka University cardiac transplant program in relation to their medication. Transplant Proc 1998; 30: 94–5.
Ad Hoc Committee of Harvard Medical School. A definition of irreversible coma. JAMA 1968; 205 (6): 85–8.
A Collaborative Study. An appraisal of the criteria of cerebral death. JAMA 1977; 237 (10): 982–6.
President’s Commission for Study of Ethical Problems in Medicine. Guidelines for the determination of death. JAMA 1981; 246 (19): 2184–6.
Ethics & Social Impact Committee, Transplant Policy Center, Ann Arbor, MI. Anencephalic infants as sources of transplantable organs. Hastings Center Report, October/ November 1988, pp. 28–30.
Blumenstein JF, Sloan FA (editors). Organ transplantation policy: issues and prospects. Durham, NC: Duke University Press, 1989.
Schutt G, Duncker G. Disappointing rate of altruism in the population. In: Touraine JL, Traeger J, Betuel H, et al., editors. Organ shortage: the solutions. Dordrecht: Kluwer Academic Publishers, 1995; 49–52.
May WF. Religious justifications for donating body parts. Hastings Center Report, February 1985, pp. 38–42.
Land W, Dossetor Jlt (editors). Organ replacement therapy: Ethics. Justice. Commerce. Berlin: Springer-Verlag, 1991.
Fluss SS. Preventing commercial transactions in human organs and tissues: an international overview of regulatory and administrative measures. In: Land W, Dossetor JB, editors. Organ replacement therapy: Ethics. Justice. Commerce. Berlin: Springer-Verlag, 1991; 154–63.
Reddy KC. Organ donation for consideration: an Indian view point, ln: Land W, Dossetor JB, editors. Organ replacement therapy: Ethics. Justice. Commerce. Berlin: Springer-Verlag, 1991; 173–80.
Salhudeen AK, Woods HF, Pingle A, et al. High mortality among recipients of bought living-unrelated donor kidneys. Lancet 1990; 336: 725–8.
Daar AS. Rewarded gifting and rampant commercialism in perspective: is there a difference? In: band W, Dossetor JB, editors. Organ replacement therapy: Ethics. Justice. Commerce. Berlin: Springer-Verlag, 1991; 181–9.
Koniavitou-Hadjiyannaki K, Protogerou D, Drakopoulos S, et al. The ugly head of commercialism in organ transplantation in Greece. In: land W, Dossetor JB, editors. Organ replacement therapy: Ethics. Justice. Commerce. Berlin: Springer-Verlag, 1991; 200–2.
Rizvi SA, Nagvi SA.(1991) Fallouts of commercialism in organ donation as seen in Pakistan. In: Land W, Dossetor J B, editors. Organ replacement therapy: Ethics. Justice. Commerce. Berlin: Springer-Verlag, 1991 203–5.
Abouna GM, Sabawi MM, Kumar MSA, Samhan M. The negative impact of paid organ donation. In: Land W, Dossetor JB, editors. Organ replacement therapy: Ethics. Justice. Commerce. Berlin: Springer-Verlag, 1991; 164–71.
Nickerson CAE, Jasper JD, Asch DA. Comfort level, financial incentives, and consent for organ donation. Transplant Proc 1998; 30: 155–9.
Englehardt Jr, HT. Is there a universal system of ethics or are ethics culture-specific. In: Land W, Dossetor JB, editors. Organ replacement therapy: Ethics. Justice. Commerce. Berlin: Springer-Verlag, 1991; 147–53.
Ross LF, Rubin DT, Siegler M, et al. Ethics of a paired-kidneyexchange program. N Engl J Med 1997; 336: 1752–5.
Jarvis R. Join the club: a modest proposal to increase availability of donor organs. J Med Ethics 1995; 21: 199–204.
Rothman DJ, Rose E, Awaya T, et al. The Bellagio Task Force Report on Transplantation, Bodily Integrity, and the International Traffic in Organs. Transplant Proc 1997; 29: 2739–45.
Emond J, Heffron T, Kortz E, et al. Improved results of living-related liver transplantation with routine application in a pediatric program. Transplantation 1993; 55 (4): 835–40.
Fawcett J, Balderson G, Lynch SV, Strong RW. Split liver transplantation: two grafts from one donor is the optimal use of a scarce resource. Transplant Rev 1998; 12 (2): 64–73.
Arnold RM, Youngner SJ, Schapiro R, Spicer CM (editors). Procuring organs for transplant. Baltimore: Johns Hopkins University Press, 1995.
Orlowski J. The opportunity for altruism: preserving options for family members. In: Arnold RM, Youngner SJ, Schapiro R, Spicer CM, editors. Procuring organs for transplant. Baltimore: Johns Hopkins University Press, 1995; 187–94.
Fox RC.“An ignoble form of cannibalism”: reflections on the Pittsburgh protocol for procuring organs from non-heartbeating cadavers. In: Arnold RM, Youngner SJ, Schapiro R, Spicer CM, editors. Procuring organs for transplant. Baltimore: Johns Hopkins University Press, 1995; 155–63.
Arnold RM, Youngner SJ. The dead donor rule: should we stretch it, bend it, or abandon it? In: Arnold RM, Youngner SJ, Schapiro R, Spicer CM, editors. Procuring organs for transplant. Baltimore: Johns Hopkins University Press, 1995; 219–34.
Herdman R, Potts JT. Non-heart-beating organ transplantation. Medical and ethical issues in procurement. Washington, DC: Institute of Medicine, National Academy Press, 1997.
Johnson L, Kuo PC, Schweitzer J, et al. Double adult renal allografts. Transplant Rev 1998; 12 (2): 59–63.
Michaels MG, Frader J, Armitage J. Ethical considerations in listing fetuses as candidates for neonatal heart transplantation. JAMA 1993; 269 (3): 401–2.
Veatch RM.(1991)Who empowers medical doctors to make allocative decisions for dialysis and organ transplantation? In: Land W, Dossetor JB, editors. Organ replacement therapy: Ethics. Justice. Commerce. Berlin: Springer-Verlag, 1991; 331–6.
Dossetor JB. A central paradox in medicine: the ethical tension between self-interest and altruism. In: Land W, Dossetor JB, editors. Organ replacement therapy: Ethics. Justice. Commerce. Berlin: Springer-Verlag, 1991; 337–43.
Reemtsma K, McCracken BH, Schlegel J, et al. Renal hetero-transplantation in man. Ann Surg 1964; 160: 384–410.
Harland RC, Bollinger RR. Extracorporeal hepatic perfusion in the treatment of patients with hepatic failure. Transplant Rev 1994; 8: 73–9.
LeTissier P, Stoye JP, Yasuhiro T, et al. Two sets of human-tropic pig retroviruses. Nature 1997; 389: 681–2.
Singer P. Animal Liberation, 2nd edn. New York: Random House, 1990.
Nelson JL. Transplantation through a glass darkly. The Hastings Center Report, September-October 1992, pp. 6–8.
Gore Jr, A. The need for a new partnership. The Hastings Center Report, February 1985, p. 13.
Fox RC, Swazey JP. Leaving the field. The Hastings Center Report, September-October 1992, pp. 9–15.
Ramsey P. The patient as a person: explorations in medical ethics. New Haven: Yale University Press, 1970.
Fox RC, Swazey JP. The participant observers: final journeys. In: Spare parts. New York: Oxford University Press, 1992; 204.
Cohen LR. The ethical virtues of a future market in cadaveric organs. In: Land W, Dossetor JB, editors. Organ replacement therapy: Ethics. Justice. Commerce. Berlin: Springer-Verlag, 1991; 302–10.
Further Reading
Chapman JR, Deierhoi M, Wight C (editors). Organ and Tissue Donation for Transplantation. London: Oxford University Press, 1997.
Land W, Dossetor JB (editors). Organ replacement therapy: Ethics. Justice. Commerce. Berlin: Springer-Verlag, 1981.
Spital A. Ethical and policy issues in altruistic living and cadav- eric organ donation. Clin Transplant 1997; 11: 77–87.
The Subject is Baby Fae (1985) The Hastings Center Report
February 1985, pp. 8–17.
Touraine JL, Traeger J, Betuel H, Dubernard JM, Revillard JP, Dupuy C (editors). Organ shortage: the solutions. Dordrecht: Kluwer Academic Publishers, 1995.
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Bollinger, R.R. (2001). Ethics of Transplantation. In: Hakim, N.S., Danovitch, G.M. (eds) Transplantation Surgery. Springer Specialist Surgery Series. Springer, London. https://doi.org/10.1007/978-1-4471-3689-7_20
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