The incidence of chronic renal failure in China is approximately 120,000 cases per year : the vast majority of these new cases will die within a very short time because of the shortage of funds, dialysis machines, and organs for transplantation.
This paper focuses on the reasons behind the organ shortage and the strategies proposed by the Chinese medical profession to increase the supply of transplantable kidneys.
The data were gathered on multiple trips to China.
Hong Kong and Taiwan between August 1993 and January 1995.
During these trips the author spoke formally with nephrologists, urologists, dialysis and transplant nurses, and other individuals active in the field of organ procurement, and informally with others familiar with general hospital practice.
The author also draws heavily on articles published in leading Chinese journals.
The kidney shortage in China is produced by the same sorts of problems as exist in other countries, but the shortage is aggravated by certain beliefs and practices specific to Chinese populations.
Live donation is hampered by traditional beliefs about the function of the kidney, while cadaver donation is hampered by reluctance to cut a body and a host of beliefs about ghosts, labeled « feudal superstitions » by the authorities.
Cadaver donation is further restrained by the lack of legal recognition of « brain death ». (...)
Mots-clés Pascal : Insuffisance rénale, Homotransplantation, Rein, Homme, Don organe, Perception sociale, Croyance, Hémodialyse, Pénurie, Cadavre, Médecine traditionnelle, Chine, Asie, Appareil urinaire pathologie, Rein pathologie, Transplantation, Chirurgie, Epuration extrarénale
Mots-clés Pascal anglais : Renal failure, Homotransplantation, Kidney, Human, Organ donation, Social perception, Belief, Hemodialysis, Shortage, Cadaver, Folk medicine, China, Asia, Urinary system disease, Kidney disease, Transplantation, Surgery, Extrarenal dialysis
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0289921
Code Inist : 002B30A11. Création : 15/07/1997.