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  1. Rationing failure : the ethical lessons of the retransplantation of scarce vital organs.

    Article - En anglais

    Because of a shortage of transplantable livers and hearts, the transplant community has had to decide-by who gets an organ-who lives or dies.

    Despite this shortage, whether one has previously received a transplant is not used as a criterion to distribute organs.

    The existing allocation system distributes 10% to 20% of available hearts and livers to retransplant patients.

    This article examines three differences between primary transplantation and retransplantation that may affect the priority that retransplant candidates should receive in vying for organs: (1) the special obligations that transplant teams have not to abandon patients on whom they have atready performed a transplant, (2) the fairness of allowing individuals to get multiple transplants while some die awaiting their first, and (3) the difference in efficacy between primary transplantation and retransplantation.

    Mots-clés Pascal : Homme, Transplantation, Organe, Pronostic, Indication, Ethique, Prise décision, Retransplantation

    Mots-clés Pascal anglais : Human, Transplantation, Organ, Prognosis, Indication, Ethics, Decision making

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 94-0093143

    Code Inist : 002B27C. Création : 199406.