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Should we review the indications for transplants because of the shortage of organs?

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Organ Shortage: The Solutions

Part of the book series: Transplantation and Clinical Immunology ((TRAC,volume 26))

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Abstract

Does the shortage of organs for transplants mean that we should review the indications for transplants? In other words, is it necessary to limit access to organ transplants so that all or nearly all of registered recipients can have their transplants? Of course this is not the most crucial question regarding organ transplantation. Of most importance is: how can we make our message clear to the general public to obtain more transplants?

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References

  1. Parsons V, Bewick M, Snowden S, Keogh A, Doherty A. The ethical problems of triage for renal failure in the United Kingdom. In: Land W, Dossetor JB, editors. Organ replacement therapy: ethics, justice, commerce. Berlin: Springer-Verlag, 1991: 373–6.

    Chapter  Google Scholar 

  2. Powell JT, Greenhalgh RM. Arterial bypass surgery and smokers. BMJ 1994; 308: 607–8.

    Article  PubMed  CAS  Google Scholar 

  3. Ellison MD, Breen TJ, Guo TG, Cunningham PRG, Daily OP. Blacks and whites on the UNOS renal waiting list: waiting times and patients demographics compared. Transplant Proc 1993; 25: 2462–6.

    PubMed  CAS  Google Scholar 

  4. McManus RP, O’Hair DP, Beitzinger JM, Schweiger J, Siegel R, Breen TJ, Olinger GN. Patients who die awaiting heart transplantation. J Heart Lung Transplant 1993; 12: 159–71.

    PubMed  CAS  Google Scholar 

  5. Stevenson LW, Warner SL, Steimle AE, Fonarow GC, Hamilton MA, Moriguchi JD, Kobashigawa JA, Tillisch JH, Drinkwater DC, Lacks H. The impending crisis awaiting cardiac transplantation: modeling a solution based on selection. Circulation 1994; 89: 4507.

    Article  Google Scholar 

  6. Mullins PA, Schofield PM, Scott JP, Solis E, J Dunning, Avarot DJ, Large SR, Wallwork J. Cardiac retransplantation: is it an ethical use of scarce resource? In: Land W, Dossetor JB, editors. Organ replacement therapy: ethics, justice, commerce. Berlin: Springer-Verlag, 1991: 445–9.

    Chapter  Google Scholar 

  7. Tesi RJ, Elkhammas EA, Davies EA, Henry ML, Ferguson RM. Renal transplantation in older people. Lancet 1994; 343: 461–4.

    Article  PubMed  CAS  Google Scholar 

  8. Chang RWS. Renal transplantation in older patients. Lancet 1994; 343: 801.

    Article  PubMed  CAS  Google Scholar 

  9. Powelson JA, Cosimi AB, Lewis WD, Rohrer RJ, Freeman RB, Vacanti JP, Jonas M, Lorber MI, Marks WH, Bradley J, Jenkins RL. Hepatic retransplantation in New England — a regional experience and survival model. Transplantation 1993; 55: 802–6.

    Article  PubMed  CAS  Google Scholar 

  10. Michielsen P. Unlimited admission of patients to the waiting list for transplantation. In: Land W, Dossetor JB, editors. Organ replacement therapy: ethics, justice, commerce. Berlin: Springer-Verlag, 1991: 364–7.

    Chapter  Google Scholar 

  11. Ramos EL, Kasiske BL, Alexander SR, Danovitch GM, Harmon WE, Kahana L, Kiresuk TJ, Neylan JF. The evaluation of candidates for renal transplantation. Transplantation 1994; 57: 490–7.

    PubMed  CAS  Google Scholar 

  12. Pichlmayr R, Kohlhaw K, Frei U. Organ transplantation: what are the limits? Transplant Proc 1992; 24: 2404–6.

    PubMed  CAS  Google Scholar 

  13. Wujciak T, Opelz G. A proposal for improved cadaver kidney allocation. Transplantation 1993; 56: 1513–7.

    Article  PubMed  CAS  Google Scholar 

  14. Sanfilippo F. Organ allocation: current problems and future issues. Transplant Proc 1993; 25: 2467.

    Google Scholar 

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© 1995 Springer Science+Business Media Dordrecht

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Deteix, P. (1995). Should we review the indications for transplants because of the shortage of organs?. In: Touraine, J.L., Traeger, J., Bétuel, H., Dubernard, J.M., Revillard, J.P., Dupuy, C. (eds) Organ Shortage: The Solutions. Transplantation and Clinical Immunology, vol 26. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-0201-8_32

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  • DOI: https://doi.org/10.1007/978-94-011-0201-8_32

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-4091-4

  • Online ISBN: 978-94-011-0201-8

  • eBook Packages: Springer Book Archive

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