Marie-Chantal Fortin, T. Murray Wilson, Lindsay C. Wilson, Matthew-John Weiss, Christy Simpson, Laura Hornby, David Hartell, Aviva Goldberg, Jennifer A. Chandler, Rosanne Dawson & Ban Ibrahim
BMC Medical Ethics 22 (1):1-10 (2021)
Authors |
|
Abstract |
BackgroundThe COVID-19 pandemic has had a significant impact on the health system worldwide. The organ and tissue donation and transplantation system is no exception and has had to face ethical challenges related to the pandemic, such as risks of infection and resource allocation. In this setting, many Canadian transplant programs halted their activities during the first wave of the pandemic.MethodTo inform future ethical guidelines related to the COVID-19 pandemic or other public health emergencies of international concern, we conducted a literature review to summarize the ethical issues.ResultsThis literature review identified three categories of ethical challenges. The first one describes the general ethical issues and challenges reported by OTDT organizations and transplantation programs, such as risks of COVID-19 transmission and infection to transplant recipients and healthcare professionals during the transplant process, risk of patient waitlist mortality or further resource strain where transplant procedures have been delayed or halted, and resource allocation. The second category describes ethical challenges related to informed consent in the context of uncertainty and virtual consent. Finally, the third category describes ethical issues related to organ allocation, such as social considerations in selecting transplant candidates.ConclusionThis literature review highlights the salient ethical issues related to OTDT during the current COVID-19 pandemic. As medical and scientific knowledge about COVID-19 increases, the uncertainties related to this disease will decrease and the associated ethical issues will continue to evolve.
|
Keywords | No keywords specified (fix it) |
Categories | (categorize this paper) |
DOI | 10.1186/s12910-021-00711-6 |
Options |
![]() ![]() ![]() ![]() |
Download options
References found in this work BETA
Utilitarian Principlism as a Framework for Crisis Healthcare Ethics.Laura Vearrier & Carrie M. Henderson - 2021 - HEC Forum 33 (1):45-60.
National Health System Cuts and Triage Decisions During the COVID-19 Pandemic in Italy and Spain: Ethical Implications.Maurizio P. Faggioni, Fermín Jesús González-Melado & Maria Luisa Di Pietro - 2021 - Journal of Medical Ethics 47 (5):300-307.
To Procure or Not to Procure: Hospitals Face Significant Ethical Dilemmas Regarding Organ Donation During the COVID-19 Pandemic.Jordan Potter, Jessica Ginsberg, Jason Lesandrini & Amy Andrelchik - 2020 - American Journal of Bioethics 20 (7):193-195.
Needs Must: Living Donor Liver Transplantation From an HIV-Positive Mother to Her HIV-Negative Child in Johannesburg, South Africa.Harriet Rosanne Etheredge, June Fabian, Mary Duncan, Francesca Conradie, Caroline Tiemessen & Jean Botha - 2019 - Journal of Medical Ethics 45 (5):287-290.
Citations of this work BETA
No citations found.
Similar books and articles
Gender Imbalance in Living Organ Donation.Nikola Biller-Andorno - 2002 - Medicine, Health Care and Philosophy 5 (2):199-203.
How is Organ Transplantation Depicted in Internal Medicine and Transplantation Journals.Céline Durand, Andrée Duplantie, Yves Chabot, Hubert Doucet & Marie-Chantal Fortin - 2013 - BMC Medical Ethics 14 (1):39.
Ethically Informed Pragmatic Conditions for Organ Donation After Cardiocirculatory Death: Could They Assist in Policy Development?Jeffrey Kirby - 2013 - Journal of Clinical Ethics 24:373-380.
Ethical Issues in Kidney Transplantation – Reflections From Nigeria.Joseph Olusesan Fadare & Babatunde L. Salako - 2010 - Transplant Research and Risk Management 2010.
7 Click Here! To Find More About Organ Transplantation: Ethical Aspects of Media Stories on Organ Donation From Romanian Newspapers.Mihaela Frunză, Iulia Grad, Sandu Frunză & Ovidiu Grad - 2019 - In Emilian Mihailov, Tenzin Wangmo, Victoria Federiuc & Bernice Elger (eds.), Contemporary Debates in Bioethics: European Perspectives. De Gruyter Open. pp. 72-85.
Promoting Organ Donation Registration with the Priority Incentive: Israeli Transplantation Surgeons' and Other Medical Practitioners' Views and Ethical Concerns.Nurit Guttman, Gil Siegal, Naama Appel-Doron & Gitit Bar‐On - 2020 - Bioethics 34 (5):527-541.
Organ and Tissue Donation for Transplantation.Jeremy R. Chapman, Mark Deierhoi & Celia Wight - 1997 - Crc Press.
Postmortem Brain Donation and Organ Transplantation in Schizophrenia: What About Patient Consent?: Figure 1.Rael D. Strous, Tal Bergman-Levy & Benjamin Greenberg - 2012 - Journal of Medical Ethics 38 (7):442-444.
A Liver for a Kidney: Ethics of Trans-Organ Paired Exchange.Emond J. Samstein B., de Melo-Martin I., Kapur S., Ratner L. - 2018 - American Journal of Transplantation 18 (5):1077-1082.
An Expedient and Ethical Alternative to Xenotransplantation.Josie Fisher - 1999 - Medicine, Health Care and Philosophy 2 (1):31-39.
Islamic Legal and Ethical Views on Organ Transplantation and Donation.Ghulam‐Haider Aasi - 2003 - Zygon 38 (3):725-734.
Ethical Issues in Pediatric Organ Transplantation.David Rodríguez-Arias, Aviva Goldberg & Rebecca Greenberg (eds.) - 2016 - Springer Verlag.
Time for Change: The Need for a Pragmatic Approach to Addressing Organ Shortage in the UK.A. -M. Farrell - 2008 - Clinical Ethics 3 (3):149-154.
Truthfulness in Transplantation: Non-Heart-Beating Organ Donation.Michael Potts - 2007 - Philosophy, Ethics, and Humanities in Medicine 2:17-.
Organ Donation as a Question of Justice: The UN/EU Report on Organ Trafficking in the Context of the Philippines.Lukas Kaelin - 2010 - Eubios Journal of Asian and International Bioethics 20 (5):150-154.
Analytics
Added to PP index
2021-10-22
Total views
3 ( #1,357,809 of 2,506,474 )
Recent downloads (6 months)
2 ( #277,244 of 2,506,474 )
2021-10-22
Total views
3 ( #1,357,809 of 2,506,474 )
Recent downloads (6 months)
2 ( #277,244 of 2,506,474 )
How can I increase my downloads?
Downloads