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先进捐赠项目“传递爱心”计划引发的伦理与后勤问题。

Ethical and Logistical Issues Raised by the Advanced Donation Program "Pay It Forward" Scheme.

作者信息

Ross Lainie Friedman, Rodrigue James R, Veatch Robert M

机构信息

University of Chicago, Chicago, Illinois, USA.

Beth Israel Deaconess Medical Center, Boston, Massachussetts, USA.

出版信息

J Med Philos. 2017 Oct 1;42(5):518-536. doi: 10.1093/jmp/jhx018.

DOI:10.1093/jmp/jhx018
PMID:28922906
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5901092/
Abstract

The advanced donation program was proposed in 2014 to allow an individual to donate a kidney in order to provide a voucher for a kidney in the future for a particular loved one. In this article, we explore the logistical and ethical issues that such a program raises. We argue that such a program is ethical in principle but there are many logistical issues that need to be addressed to ensure that the actual program is fair to both those who do and do not participate in this program.

摘要

2014年提出了超前捐赠计划,允许个人捐献肾脏,以便为未来特定的亲人换取一张肾脏获取券。在本文中,我们探讨了该计划引发的后勤和伦理问题。我们认为,这样一个计划原则上是符合伦理的,但有许多后勤问题需要解决,以确保实际实施的计划对参与和不参与该计划的人都公平。

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The Body as Gift, Commodity, or Something in Between: Ethical Implications of Advanced Kidney Donation.身体是礼物、商品还是介于两者之间的某种东西:活体肾脏捐赠的伦理意蕴
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Evolving swaps in transplantation: global exchange, vouchers, liver, and trans-organ paired exchange.移植领域的演变性交换:全球交换、代金券、肝脏和跨器官配对交换。
Curr Opin Organ Transplant. 2019 Apr;24(2):161-166. doi: 10.1097/MOT.0000000000000621.
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Kidney exchange transplantation current status, an update and future perspectives.肾交换移植的现状、最新进展及未来展望。
World J Transplant. 2018 Jun 28;8(3):52-60. doi: 10.5500/wjt.v8.i3.52.

本文引用的文献

1
Kidney paired exchange and desensitization: Strategies to transplant the difficult to match kidney patients with living donors.肾移植配对交换与脱敏:将难以匹配的肾移植患者与活体供体进行移植的策略。
Transplant Rev (Orlando). 2017 Jan;31(1):29-34. doi: 10.1016/j.trre.2017.01.003. Epub 2017 Jan 24.
2
Delays in Prior Living Kidney Donors Receiving Priority on the Transplant Waiting List.既往活体肾供体在移植等待名单上获得优先排序的延迟情况。
Clin J Am Soc Nephrol. 2016 Nov 7;11(11):2047-2052. doi: 10.2215/CJN.01360216. Epub 2016 Sep 2.
3
The Incorporation of an Advanced Donation Program Into Kidney Paired Exchange: Initial Experience of the National Kidney Registry.将先进的捐赠计划纳入肾脏配对交换:国家肾脏登记处的初步经验。
Am J Transplant. 2015 Oct;15(10):2712-7. doi: 10.1111/ajt.13339. Epub 2015 May 26.
4
Identifying Opportunities to Increase the Throughput of Kidney Paired Donation.确定增加肾联合捐赠通量的机会。
Transplantation. 2015 Jul;99(7):1410-5. doi: 10.1097/TP.0000000000000527.
5
Finding long chains in kidney exchange using the traveling salesman problem.利用旅行商问题在肾脏交换中寻找长链。
Proc Natl Acad Sci U S A. 2015 Jan 20;112(3):663-8. doi: 10.1073/pnas.1421853112. Epub 2015 Jan 5.
6
Kidney paired donation: principles, protocols and programs.肾配对捐赠:原则、方案与项目
Nephrol Dial Transplant. 2015 Aug;30(8):1276-85. doi: 10.1093/ndt/gfu309. Epub 2014 Oct 7.
7
Making house calls increases living donor inquiries and evaluations for blacks on the kidney transplant waiting list.上门家访增加了等待肾移植名单上黑人的活体捐赠咨询和评估。
Transplantation. 2014 Nov 15;98(9):979-86. doi: 10.1097/TP.0000000000000165.
8
Donation after circulatory death: current practices, ongoing challenges, and potential improvements.心跳停止后捐献:当前实践、持续挑战和潜在改进。
Transplantation. 2014 Feb 15;97(3):258-64. doi: 10.1097/01.TP.0000437178.48174.db.
9
Dynamic challenges inhibiting optimal adoption of kidney paired donation: findings of a consensus conference.动态挑战抑制了最佳的肾配对捐赠的采用:共识会议的结果。
Am J Transplant. 2013 Apr;13(4):851-860. doi: 10.1111/ajt.12140. Epub 2013 Feb 7.
10
Is it ethical to invite compatible pairs to participate in exchange programmes?邀请匹配的双方参与交换项目是否符合道德规范?
J Med Ethics. 2013 Dec;39(12):743-7. doi: 10.1136/medethics-2012-101129. Epub 2013 Jan 24.