Organ shortage: the greatest challenge facing transplant medicine

World J Surg. 2014 Jul;38(7):1650-7. doi: 10.1007/s00268-014-2639-3.

Abstract

The success of organ transplantation as a treatment for end-stage organ disease has yielded a series of ethical quandaries originating from the issue of organ shortage. Scarcity of organs for transplantation necessitates formulation of just and fair allocation policies as well as ethically viable solutions to bridging the vast gap between organ supply and demand. The concept of "triage" provides a useful paradigm in which to contextualize the organ shortage issue. This entails subjugating the welfare of the individual patient for the benefit of the wider community as an ethically justified response to the challenge of scarcity.

MeSH terms

  • Humans
  • Organ Trafficking / ethics
  • Organ Trafficking / legislation & jurisprudence
  • Organ Transplantation / ethics*
  • Patient Selection / ethics*
  • Policy
  • Presumed Consent
  • Resource Allocation / ethics*
  • Resource Allocation / legislation & jurisprudence
  • Tissue and Organ Procurement / organization & administration*
  • Transplants / supply & distribution*
  • Triage
  • United States