Biomaterial Database

Allocation of cadaver kidneys: new pressures, new solutions. 1994

W E Braun

Department of Nephrology and Hypertension, Cleveland Clinic Foundation, OH 44195.

Equitable allocation of human cadaver kidneys is complex and challenging, both from the ethical and scientific points of view. It is based on the principles of distributive justice and medical utility. However, the optimal application of ethical principles will require further resolution of medical issues that currently focus on the number of transplants for a single patient, six antigen matches, lesser degrees of HLA matching, marginal recipients, various positive cross-match situations, and cold ischemia time. New HLA matching techniques and enhanced computer organ allocation systems have the potential to surmount racial differences and increase significantly the number of compatible renal allografts.

UI	MeSH Term	Description	Entries
D009927	Tissue and Organ Procurement	The administrative procedures involved with acquiring TISSUES or organs for TRANSPLANTATION through various programs, systems, or organizations. These procedures include obtaining consent from TISSUE DONORS and arranging for transportation of donated tissues and organs, after TISSUE HARVESTING, to HOSPITALS for processing and transplantation.	Organ Procurement,Organ Procurement Systems,Organ Shortage,Tissue Procurement,Tissue Shortage,Donor Cards,Organ Donation,Required Organ Donation Request,Required Request,Tissue Donation,Donor Card,Organ Donations,Organ Procurement System,Organ Procurements,Required Requests,Shortage, Tissue,Tissue Donations,Tissue Procurements,Tissue Shortages
D002102	Cadaver	A dead body, usually a human body.	Corpse,Cadavers,Corpses
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D012935	Social Justice	An interactive process whereby members of a community are concerned for the equality and rights of all.	Food Justice,Common Good,Justice,Obligations of Society,Good, Common,Justice, Food,Justice, Social
D014481	United States	A country in NORTH AMERICA between CANADA and MEXICO.
D014850	Waiting Lists	Prospective patient listings for appointments or treatments.	List, Waiting,Lists, Waiting,Waiting List
D015276	Health Care Rationing	Planning for the equitable allocation, apportionment, or distribution of available health resources.	Allocation of Health Care Resources,Allocation of Healthcare Resources,Rationing, Health Care,Healthcare Rationing,Healthcare Resources Allocation,Healthcare Resources Allocations,Rationing, Healthcare,Resources Allocation, Healthcare
D016030	Kidney Transplantation	The transference of a kidney from one human or animal to another.	Grafting, Kidney,Renal Transplantation,Transplantation, Kidney,Transplantation, Renal,Kidney Grafting,Kidney Transplantations,Renal Transplantations,Transplantations, Kidney,Transplantations, Renal
D018579	Patient Selection	Criteria and standards used for the determination of the appropriateness of the inclusion of patients with specific conditions in proposed treatment plans and the criteria used for the inclusion of subjects in various clinical trials and other research protocols.	Patient Recruitment,Research Subject Recruitment,Selection Criteria,Research Subject Selection,Selection for Treatment,Selection of Research Volunteers,Selection of Subjects,Criteria, Selection,Recruitment, Patient,Recruitment, Research Subject,Recruitments, Research Subject,Research Subject Recruitments,Research Subject Selections,Research Volunteers Selection,Research Volunteers Selections,Selection for Treatments,Selection, Patient,Selection, Research Subject,Selections, Research Subject,Subject Recruitment, Research,Subject Recruitments, Research,Subject Selection, Research,Subject Selections, Research,Subjects Selection,Subjects Selections,Treatment, Selection for,Treatments, Selection for,Volunteers Selection, Research
D028663	Ethical Theory	A philosophically coherent set of propositions (for example, utilitarianism) which attempts to provide general norms for the guidance and evaluation of moral conduct. (from Beauchamp and Childress, Principles of Biomedical Ethics, 4th ed)	Consequentialism,Deontological Ethics,Ethics, Deontological,Ethics, Teleological,Normative Ethics,Teleological Ethics,Utilitarianism,Deontological Ethic,Ethic, Deontological,Ethic, Normative,Ethic, Teleological,Ethical Theories,Ethics, Normative,Normative Ethic,Teleological Ethic,Theories, Ethical,Theory, Ethical,Utilitarianisms