肺再移植的伦理考量

IF 1.8 4区 医学 Q3 TRANSPLANTATION Current Opinion in Organ Transplantation Pub Date : 2024-12-01 Epub Date: 2024-08-06 DOI:10.1097/MOT.0000000000001171
Lynette A Lester, Valerie P Huang, Sean C Wightman, Graeme M Rosenberg
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引用次数: 0

摘要

审查目的:在每年的肺移植手术中,接受再移植的患者所占比例越来越大。在临床进展的同时,有必要考虑再移植的伦理因素:大多数临床数据表明,接受再移植的患者存活率较低;然而,围绕再移植伦理原则的讨论却很有限。摘要:四箱模型为评估再移植中的伦理因素提供了一个有价值的框架。这包括对医学适应症、患者偏好、生活质量和环境因素的分析,以支持对稀缺供肺的伦理使用。
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Ethical considerations in lung re-transplantation.

Purpose of review: Patients undergoing re-transplantation constitute a growing proportion of annual lung transplants. It is necessary to consider ethical considerations of re-transplantation in parallel with clinical progress.

Recent findings: Most clinical data demonstrate patients undergoing re-transplantation have worse survival outcomes; however, there is limited discussion of the ethical principles surrounding re-transplantation. Ethical guidance in re-transplantation trails clinical advancement.

Summary: The four-box model offers a valuable framework for assessing the ethical considerations in re-transplantation. This includes an analysis of medical indications, patient preferences, quality-of-life and contextual factors to support the ethical use of scarce donor lungs.

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来源期刊
CiteScore
4.10
自引率
4.50%
发文量
124
审稿时长
6-12 weeks
期刊介绍: ​​​​​​Current Opinion in Organ Transplantation is an indispensable resource featuring key, up-to-date and important advances in the field from around the world. Led by renowned guest editors for each section, every bimonthly issue of Current Opinion in Organ Transplantation delivers a fresh insight into topics such as stem cell transplantation, immunosuppression, tolerance induction and organ preservation and procurement. With 18 sections in total, the journal provides a convenient and thorough review of the field and will be of interest to researchers, surgeons and other healthcare professionals alike.
期刊最新文献
Ethical considerations in lung re-transplantation. Ethics of abortion in transplantation. Establishing an upper extremity transplantation program: lessons learnt over 12 years. The current state of tolerance induction in vascularized composite allotransplantation. Tracheal transplantation: lessons learned that may apply to lung transplantation.
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