✦ LIBER ✦

The dilemma and reality of transplant tourism: An ethical perspective for liver transplant programs

✍ Scribed by Thomas D. Schiano; Rosamond Rhodes

Publisher: John Wiley and Sons
Year: 2010
Tongue: English
Weight: 84 KB
Volume: 16
Category: Article
ISSN: 1527-6465
DOI: 10.1002/lt.21967

No coin nor oath required. For personal study only.

✦ Synopsis

Transplant programs are likely to encounter increasing numbers of patients who return after receiving an organ transplant abroad. These patients will require ongoing medical care to monitor their immunosuppression and to provide treatment when the need arises. Transplant societies have condemned transplantation with organs purchased abroad and with organs procured from executed prisoners in China. Nevertheless, transplant programs require guidance on how to respond to the needs of returning transplant tourists and to the needs of patients who may choose to become transplant tourists. This discussion presents a case that raised such issues in our program. It goes on to offer reasons for considering a program's responses in terms of the most relevant principles of medical ethics, namely beneficence and nonjudgmental regard.

📜 SIMILAR VOLUMES

Ethical and legislative perspectives on

Ethical and legislative perspectives on liver transplantation in the People's Republic of China

✍ Jiefu Huang 📂 Article 📅 2007 🏛 John Wiley and Sons 🌐 English ⚖ 67 KB 👁 1 views

Following the first unsuccessful effort at clinical liver transplantation in 1978, liver transplantation in the People's Republic of China (PRC) has evolved over 3 decades and now, has become accepted as an effective therapeutic modality for many types of end-stage liver disease. Because of the high

Beyond the numbers: Rational and ethical

Beyond the numbers: Rational and ethical application of outcome models for organ allocation in liver transplantation

✍ Scott W. Biggins 📂 Article 📅 2007 🏛 John Wiley and Sons 🌐 English ⚖ 70 KB 👁 1 views

Applying predictive models to heath policy-particularly when allocating scarce life-saving resourcesmust be understood in the context of clinical practice patterns 1,2 and ethical principles. [3][4][5] Unlike most medical and surgical interventions in the developed world, the availability of liver t

Management of the hepatitis B virus in t

Management of the hepatitis B virus in the liver transplantation setting: A European and an American perspective

✍ Norah Terrault; Bruno Roche; Didier Samuel 📂 Article 📅 2005 🏛 John Wiley and Sons 🌐 English ⚖ 156 KB

Outcomes of orthotopic liver transplanta

Outcomes of orthotopic liver transplantation for hepatic sarcoidosis: An analysis of the United Network for organ sharing/organ Procurement and Transplantation Network data files for a comparative study with cholestatic liver diseases

✍ Jason M. Vanatta; Kian A. Modanlou; Amanda G. Dean; Nosratollah Nezakatgoo; Luis 📂 Article 📅 2011 🏛 John Wiley and Sons 🌐 English ⚖ 240 KB 👁 1 views

Hepatic sarcoidosis is a rare indication for liver transplantation. Using the United Network for Organ Sharing (UNOS)/Organ Procurement and Transplantation Network (OPTN) database, we evaluated patient and graft survival after orthotopic liver transplantation for sarcoidosis between October 1987 and

An analysis of the UNOS liver transplant

An analysis of the UNOS liver transplant registry: High serum alpha-fetoprotein does not justify an increase in MELD points for suspected hepatocellular carcinoma

✍ Nyingi Kemmer; Guy Neff; Tiffany Kaiser; Victoria Zacharias; Mark Thomas; Amit T 📂 Article 📅 2006 🏛 John Wiley and Sons 🌐 English ⚖ 79 KB 👁 1 views

The current United Network for Organ Sharing (UNOS) criteria for liver transplantation gives priority to patients with elevated serum alpha-fetoprotein (AFP; Ն 500 ng/mL) in the absence of radiologic evidence of a hepatic mass. Reports have shown that an elevated serum AFP is a poor diagnostic indic