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Ethical considerations in lung re-transplantation
Lynette A Lester1, Valerie P Huang, Sean C Wightman
1University of Southern California Keck School of Medicine, Los Angeles, California, USA.
Purpose Of Review:
Patients undergoing re-transplantation constitute a growing proportion of annual lung transplants. It is necessary to consider ethical considerations of re-transplantation in parallel with clinical progress.
Recent Findings:
Most clinical data demonstrate patients undergoing re-transplantation have worse survival outcomes; however, there is limited discussion of the ethical principles surrounding re-transplantation. Ethical guidance in re-transplantation trails clinical advancement.
Summary:
The four-box model offers a valuable framework for assessing the ethical considerations in re-transplantation. This includes an analysis of medical indications, patient preferences, quality-of-life and contextual factors to support the ethical use of scarce donor lungs.
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