How Can We Ethically Increase the Supply of Transplantable Organs?
Authors: James F. Childress
Journal: Annals of Internal Medicine (2006)

Editorials1 August 2006How Can We Ethically Increase the Supply of Transplantable Organs?James F. Childress, PhDJames F. Childress, PhDFrom University of Virginia, Charlottesville, VA 22904.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-145-3-200608010-00010 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail The waiting list for solid organ transplantation in the United States now exceeds 92 000 persons (approximately 67 000 of whom need a kidney transplant), and the list grows longer each year (1). In 2005, more than 28 000 solid organs, mainly kidneys (16 477 kidneys), were transplanted (1, 2). Not surprisingly, given this gap between supply and demand, vigorous debates have erupted about how best to increase and to allocate the supply of transplantable organs.In May 2006, the Institute of Medicine (IOM) released a new report, "Organ Donation: Opportunities for Action" (2), prepared by a committee charged with studying how to increase ...References1. United Network for Organ Sharing (UNOS). Accessed at www.unos.org on 19 June 2006. Google Scholar2. Childress JF, Liverman CT, eds. Organ Donation: Opportunities for Action. Washington, DC: National Academies Pr; 2006. Google Scholar3. Sánchez-Fructuoso AI, Marques M, Prats D, Conesa J, Calvo N, Pérez-Contín MJ, et al. Victims of cardiac arrest occurring outside the hospital: a source of transplantable kidneys. Ann Intern Med. 2006;145:157-64. LinkGoogle Scholar4. Boudville N, Prasad GV, Knoll G, Muirhead N, Thiessen-Philbrook H, Yang RC, et al. Meta-analysis: risk for hypertension in living kidney donors. Ann Intern Med. 2006;145:185-96. LinkGoogle Scholar5. U.S. Department of Health and Human Services Advisory Committee on Organ Transplantation. Summary Recommendations to the Secretary. Washington, DC: U.S. Department of Health and Human Services. Accessed at www.organdonor.gov/acotrecsbrief.html on 19 June 2006. Google Scholar6. Steinberg D. The allocation of organs donated by altruistic strangers. Ann Intern Med. 2006;145:197-203. LinkGoogle Scholar Author, Article, and Disclosure InformationAuthors: James F. Childress, PhDAffiliations: From University of Virginia, Charlottesville, VA 22904.Disclosures:Employment: University of Virginia; Consultancies: Roche Genetics Scientific and Ethics Advisory Committee; Honoraria: Association of Liver Disease, University of Indiana.Corresponding Author: James F. Childress, PhD, Institute for Practical Ethics and Public Life, University of Virginia, PO Box 400800, Charlottesville, VA 22904-4800. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoMeta-Analysis: Risk for Hypertension in Living Kidney Donors Neil Boudville , G. V. Ramesh Prasad , Greg Knoll , Norman Muirhead , Heather Thiessen-Philbrook , Robert C. Yang , M. Patricia Rosas-Arellano , Abdulrahman Housawi , and Amit X. Garg , for the Donor Nephrectomy Outcomes Research (DONOR) Network*The Allocation of Organs Donated by Altruistic Strangers David Steinberg Victims of Cardiac Arrest Occurring Outside the Hospital: A Source of Transplantable Kidneys Ana I. Sánchez-Fructuoso , Maria Marques , Dolores Prats , José Conesa , Natividad Calvo , M. Jesús Pérez-Contín , Jesús Blazquez , Cristina Fernández , Ervigio Corral , Francisco Del Río , Jose R. Núñez , and Alberto Barrientos Ethically Increasing the Supply of Transplantable Organs Mohamed Y. Rady and Joseph L. Verheijde Ethically Increasing the Supply of Transplantable Organs Aaron Spital Metrics Cited byA Considerably Common Morality: Catholic Ethics and Secular Principlism in DialogueThe Society, the Barriers to Organ Donation and Alternatives for a ChangeEarly Identification of Patients With Out-of-Hospital Cardiac Arrest With No Chance of Survival and Consideration for Organ DonationPatricia Jabre, MD, PhD, Wulfran Bougouin, MD, MPH, Florence Dumas, MD, PhD, Pierre Carli, MD, PhD, Corinne Antoine, MD, Laurent Jacob, MD, PhD, Benjamin Dahan, MD, Frankie Beganton, MS, Jean-Philippe Empana, MD, PhD, Eloi Marijon, MD, PhD, Nicole Karam, MD, MPH, Alexandre Loupy, MD, PhD, Carmen Lefaucheur, MD, PhD, Daniel Jost, MD, PhD, Alain Cariou, MD, PhD, Frédéric Adnet, MD, PhD, Thomas D. 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Verheijde, PhD, MBAEthically Increasing the Supply of Transplantable OrgansAaron Spital, MD 1 August 2006Volume 145, Issue 3Page: 224-225KeywordsBlood pressureHealth information technologyHeartHypertensionKidneysMotivationRenal transplantationRisk managementSolid organ transplantationTransplantation ePublished: 1 August 2006 Issue Published: 1 August 2006 Copyright & PermissionsCopyright © 2006 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...