tetano
Editor, Senior Moderator
Am J Transplant. 2020 Apr 13. doi: 10.1111/ajt.15914. [Epub ahead of print]
Coronavirus disease 2019: Utilizing an ethical framework for rationing absolutely scarce healthcare resources in transplant allocation decisions.
Wall AE[SUP]1[/SUP], Pruett T[SUP]2[/SUP], Stock P[SUP]3[/SUP], Testa G[SUP]1[/SUP].
Author information
Abstract
The novel Coronavirus disease 2019 (COVID-19) is impacting transplant programs around the world, and, as the center of the pandemic shifts to the United States, we have to prepare to make decisions about which patients to transplant during times of constrained resources. In this paper, we discuss how to transition from the traditional justice versus utility consideration in organ allocation to a more nuanced allocation scheme based on ethical values that drive decisions in times of absolute scarcity. We recognize that many decisions are made based on the practical limitations that transplant programs face, especially at the extremes. As programs make the transition from a standard approach to a resource constrained approach to transplantation, we utilize a framework for ethical decisions in settings of absolutely scarce resources to help guide programs in deciding which patients to transplant, which donors to accept, how to minimize risk, and how to ensure the best utilization of transplant team members.
This article is protected by copyright. All rights reserved.
PMID:32282992DOI:10.1111/ajt.15914
Coronavirus disease 2019: Utilizing an ethical framework for rationing absolutely scarce healthcare resources in transplant allocation decisions.
Wall AE[SUP]1[/SUP], Pruett T[SUP]2[/SUP], Stock P[SUP]3[/SUP], Testa G[SUP]1[/SUP].
Author information
Abstract
The novel Coronavirus disease 2019 (COVID-19) is impacting transplant programs around the world, and, as the center of the pandemic shifts to the United States, we have to prepare to make decisions about which patients to transplant during times of constrained resources. In this paper, we discuss how to transition from the traditional justice versus utility consideration in organ allocation to a more nuanced allocation scheme based on ethical values that drive decisions in times of absolute scarcity. We recognize that many decisions are made based on the practical limitations that transplant programs face, especially at the extremes. As programs make the transition from a standard approach to a resource constrained approach to transplantation, we utilize a framework for ethical decisions in settings of absolutely scarce resources to help guide programs in deciding which patients to transplant, which donors to accept, how to minimize risk, and how to ensure the best utilization of transplant team members.
This article is protected by copyright. All rights reserved.
PMID:32282992DOI:10.1111/ajt.15914