Better off living-the ethics of the new UNOS proposal for allocating kidneys for transplantation

Clinical Journal of the American Society of Nephrology

Volumn 6, Issue 9, 2011, Pages 2310-2312

  Reese, Peter P ^a   Caplan, Arthur L ^a  

^a UNIVERSITY OF PENNSYLVANIA   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; COMORBIDITY; DEMENTIA; GRAFT RECIPIENT; GRAFT SURVIVAL; HEART FAILURE; HOSPITAL ADMISSION; HUMAN; INTENSIVE CARE UNIT; KIDNEY TRANSPLANTATION; LIVING DONOR; MEDICAL ETHICS; NEOPLASM; PREDICTION;

ADULT; AGE FACTORS; AGED; HUMANS; KIDNEY TRANSPLANTATION; LIVING DONORS; MIDDLE AGED; RESOURCE ALLOCATION; TISSUE AND ORGAN PROCUREMENT; WAITING LISTS;

EID: 80052606346     PISSN: 15559041     EISSN: 1555905X     Source Type: Journal    
DOI: 10.2215/CJN.03310411     Document Type: Article

References (14)

1. Organ Procurement and Transplantation Network. Concepts for Kidney Allocation. Release Date: February 16, 2011. Available at: http://optn.transplant.hrsa.gov/SharedContentDocuments/KidneyConceptDocument.PDF. Accessed: June 8, 2011.
2. Hippen BE, Thistlethwaite JR, Ross LF: Risk, prognosis, and unintended consequences in kidney allocation. N Engl J Med 364: 1285-1287, 2011.
3. Schold J, Srinivas TR, Sehgal AR, Meier-Kriesche HU: Half of kidney transplant candidates who are older than 60 years now placed on the waiting list will die before receiving a deceased-donor transplant. Clin J Am Soc Nephrol 4: 1239-1245, 2009.
4. Klassen AC, Hall AG, Saksvig B, Curbow B, Klassen DK: Relationship between patients' perceptions of disadvantage and discrimination and listing for kidney transplantation. Am J Public Health 92: 811-817, 2002.
5. Louis ON, Sankar P, Ubel PA: Kidney transplant candidates' views of the transplant allocation system. J Gen Intern Med 12: 478-484, 1997.
6. Alexander GC, Sehgal AR: Barriers to cadaveric renal transplantation among blacks, women, and the poor. JAMA 280: 1148-1152, 1998.
7. Hall YN, Choi AI, Xu P, O'Hare AM, Chertow GM: Racial ethnic differences in rates and determinants of deceased donor kidney transplantation. J Am Soc Nephrol 22: 743-751, 2011.
8. Segev DL, Kucirka LM, Oberai PC, Parekh RS, Boulware LE, Powe NR, Montgomery RA: Age and comorbidities are effect modifiers of gender disparities in renal transplantation. J Am Soc Nephrol 20: 621-628, 2009.
9. Reese PP, Caplan AL, Bloom RD, Abt PL, Karlawish JH: How should we use age to ration health care? Lessons from the case of kidney transplantation. J Am Geriatr Soc 58: 1980-1986, 2010.
10. Persad G, Wertheimer A, Emanuel EJ: Principles for allocation of scarce medical interventions. Lancet 373: 423-431, 2009.
11. Williams A: Intergenerational equity: An exploration of the 'fair innings' argument. Health Econ 6: 117-132, 1997.
12. Organ Procurement and Transplantation Network. Kidney Kaplan-Meier Patient Survival Rates For Transplants Performed: 1997-2004. Available at: http://optn.transplant.hrsa. gov/latestData/rptStrat.asp. Last accessed 7/1/2011.
13. Fair allocation of intensive care unit resources. American Thoracic Society. Am J Respir Crit Care Med 156: 1282-1301, 1997.
14. Ward NS, Teno JM, Curtis JR, Rubenfeld GD, Levy MM: Perceptions of cost constraints, resource limitations, and rationing in United States intensive care units: Results of a national survey. Crit Care Med 36: 471-476, 2008