Hemodialysis for Chronic Renal Failure
Authors: GEORGE E. SCHREINER
Journal: Annals of Internal Medicine (1965)

Article1 March 1965Hemodialysis for Chronic Renal FailureIII. Medical, Moral and Ethical, and Socio-economic ProblemsGEORGE E. SCHREINER, M.D., F.A.C.P., JOHN F. MAHER, M.D., F.A.C.P.GEORGE E. SCHREINER, M.D., F.A.C.P.Search for more papers by this author, JOHN F. MAHER, M.D., F.A.C.P.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-62-3-551 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThere is an old aphorism that every successful research project raises more questions than it answers. Since dialysis for chronic uremia involves the application of dramatic techniques to terminal patients in an emotionally charged atmosphere requiring the mobilization of great scientific and material resources, it is hardly unexpected that a host of problems have arisen. General questions have ranged from "can it be done" to "should it be done" and "will it be done." Having addressed ourselves to the clinical, methodological, and biochemical experiences of the chronic dialysis program, it seems natural to consider here, at least briefly, the related...References1. SCHREINER GE: Liability in the use of investigational drugs. JAMA 185: 259, 1963. CrossrefMedlineGoogle Scholar2. SCHREINERBOGDONOFF GEMD: Limbo to limb—the moral and legal entanglements of the clinical investigator. Clin. Res. 11: 127, 1963. Google Scholar3. : Trials of War Criminals (The Medical Case) Vol. 2, U. S. Government Printing Office, Washington, D. C., 1947, p. 181. Google Scholar4. The Declaration of Helsinki (supplement 2). Brit. Med. J. 2: 177, 1964. MedlineGoogle Scholar5. Responsibility in investigation on human subjects (Medical Research Council of Great Britain). Brit. Med. J. 2: 178, 1964. CrossrefMedlineGoogle Scholar6. The code of ethics for human experimentation. (A.M.A., ASCI, AFCR) In preparation. Google Scholar7. Joint Conference on Uremia—American Medical Association and National Kidney Disease Foundation, Biltmore Hotel, New York, N. Y. June 21, 1963. Google Scholar8. ELKINTON JR: Moral problems in the use of borrowed organs, artificial and transplanted (editorial). Ann. Intern. Med. 60: 309, 1964. LinkGoogle Scholar9. PAGE IH: Prolongation of life in affluent society (editorial). Mod. Med., October 14: 89, 1963. Google Scholar10. FLETCHER J: The patient's right to die. Harper's, October 1960, p. 139. Google Scholar11. LAWSON HG: Medical irony: kidney machines save "doomed" patients' lives but raise ethical issue. Wall Street Journal, August 22, 1963. Google Scholar12. ALEXANDER S: They decide who lives, who dies: medical miracle and a moral burden of a small committee. Life, November 9: 102, 1962. Google Scholar13. Moral problems of artificial and transplanted organs (Letters and Comments) Ann. Intern. Med. 61: 355, 1964. LinkGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Washington, D. C.From the Department of Medicine, Georgetown University School of Medicine, and the Renal & Electrolyte Division, Georgetown University Hospital, Washington, D. C.This work was supported by the John A. Hartford Foundation, the Georgetown University Kidney Research Fund, and Clinical Study Unit grant FR-60, National Institutes of Health, U. S. Public Health Service, Bethesda, Md.Requests for reprints should be addressed to George E. Schreiner, M.D., Director, Renal & Electrolyte Division, Georgetown University Hospital, 3800 Reservoir Rd., N.W., Washington, D. C. 20007. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited ByAchieving a person‐centered approach to dialysis discontinuation: An historical perspectiveSuicide Risk in Dialysis: Review of Current LiteratureThe treatment of male impotence with HCG and PGE-1Neurologische und psychiatrische Komplikationen unter der DialyseHuman Chorionic Gonadotropin Treatment of Male Sexual Inadequacy in Patients Affected by Chronic Renal FailureTermination of Hemodialysis Treatment—Staff ReactionsSexual Functioning in Patients with Chronic Renal FailureREVERSAL OF URÆMIC IMPOTENCE BY ZINCAnalysis of patient-nurse interaction in hemodialysis unitsThe Psychiatric Aspects of Renal HemodialysisNew Clinical Syndromes under Regular Intermittent HemodialysisThe Child in Renal FailureImpotence in Patients with Chronic Renal Failure on Dialysis: Its Frequency and EtiologyMedizinische Extremsituationen und der sterbende PatientKidney Donation by a 7-Year-Old Identical Twin ChildA NEW HEMODIALYSIS CONSOLEEthical and Moral Problems in the Use of Artificial and Transplanted OrgansTransplants and Psychological Survival in the Treatment of Kidney DiseaseOrgan-Transplantation: A Societal ProblemThe Literature of Ethical Problems in Medicine—Part 3LIFE WITH A TRANSPLANTED KIDNEYREPORT OF THE AD‐HOC COMMITTEE ON RATIONALIZATION OF FACILITIES FOR ORGAN TRANSPLANTATION AND RENAL DIALYSISEMOTIONAL PROBLEMS AND REACTIONS OF THE MEDICAL TEAM IN A CHRONIC HÆMODIALYSIS UNITPsychiatric Aspects of Renal HomotransplantationSCOLEX ANTIGENS IN THE LABORATORY DIAGNOSIS OF HYDATID DISEASEPREDICTING SERUM-CALCIUM AFTER HÆMODIALYSISCurrent status of chronic hemodialysisChronic Hemodialysis as a Medical and Social ExperimentCHARLES E. NORTON, M.D.The Artificial Kidney: Some Approaches to Improved Design and FunctionHEPATITIS COMPLICATING CHRONIC HÆMODIALYSISPsychological Stress During Hemodialysis for Chronic Renal FailureROBERT G. WRIGHT, M.D., PATRICIA SAND, PH.D., GOODHUE LIVINGSTON, PH.D.Medicine and the Quality of LifeJ. R. E.Hemodialysis for Chronic Renal Failure II. Biochemical and Clinical AspectsJOHN F. MAHER, M.D., F.A.C.P., RICHARD B. FREEMAN, M.D., GEORGE E. SCHREINER, M.D., F.A.C.P.Hemodialysis for Chronic Renal Failure IV. Psychological ConsiderationsEILEEN J. SHEA, R.N., M.S.N., DONALD F. BOGDAN, M.D., RICHARD B. FREEMAN, M.D., GEORGE E. SCHREINER, M.D., F.A.C.P. 1 March 1965Volume 62, Issue 3Page: 551-557KeywordsAllergy and immunologyHospital medicineKidneysMedical dialysisMedical educationMedical servicesPrevention, policy, and public healthRenal failureResearch fundingTransplantation Issue Published: 1 March 1965 PDF DownloadLoading ...