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Kidneys for transplantation

R L Steinbrook

    Journal of Health Politics, Policy and Law
    |January 1, 1981
    PubMed
    Summary
    This summary is machine-generated.

    The critical kidney shortage impacts patients with renal failure. Increasing organ donation through living related donors and efficient cadaver kidney procurement can help meet the demand.

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    Area of Science:

    • Nephrology
    • Transplantation Medicine
    • Public Health Policy

    Background:

    • A significant shortage of donor kidneys exists globally, critically affecting patients with end-stage renal disease.
    • Effective care for renal failure patients is severely compromised by the limited availability of transplantable kidneys.

    Purpose of the Study:

    • To discuss the critical need for kidneys in treating renal failure.
    • To evaluate strategies for increasing the supply of donor kidneys, including live donation and cadaver organ procurement.
    • To analyze the feasibility and ethical implications of organ sales and "contracting out" laws.

    Main Methods:

    • Review of current practices in kidney procurement from both living donors and deceased donors.
    • Analysis of proposed strategies to augment the kidney donor pool.
    Keywords:
    End Stage Renal Disease ProgramPublic Law 95-292Uniform Anatomical Gift Act

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  • Ethical and constitutional assessment of controversial organ procurement methods.
  • Main Results:

    • The kidney shortage can be substantially reduced by prioritizing living related donors and optimizing the retrieval of cadaver organs.
    • Strategies such as the sale of organs are deemed unacceptable in Western societies.
    • "Contracting out" laws present significant constitutional and ethical challenges and may not effectively increase kidney procurement.

    Conclusions:

    • Optimizing existing donation pathways, particularly through living related donors and improved cadaver organ retrieval, is key to mitigating the kidney shortage.
    • Proposed radical measures like organ sales and "contracting out" are not viable solutions due to ethical, legal, and practical concerns.