Navigation Links
Majority of doctors skeptical of organ transplantation practices in China
Date:4/22/2009

San Francisco, Calif. - April 22, 2009 The globalization of health care and the growth of "transplant tourism" (traveling abroad to purchase donor organs and undergo organ transplantation) have outpaced the implementation of internationally accepted ethical standards for procurement of organs for transplantation. A new article appearing in Clinical Transplantation finds that both U.S. and foreign transplant physicians expressed serious concern about organ procurement practices in China, and that this concern influenced their patient care decisions. The study is the first to assess how the perceptions of healthcare providers on transplant tourism may influence domestic patient care decisions.

Globalization of medical and surgical technology has increased the capacity for countries worldwide to perform organ transplantation. Unfortunately, dramatic geographic variation in the availability of organs for transplantation and a parallel discrepancy in financial resources for healthcare have increasingly led desperate patients to transplant tourism. Organ procurement in China has been especially criticized for its reliance on executed prisoners as donors.

An anonymous case-based questionnaire was used to survey a sample of healthcare professionals with affiliations to hepatology and transplantation professional societies. A strong majority believed procurement practices were ethically sound in the U.S. and Europe, but only 4 percent believed that procurement practices were ethically sound in China.

The majority of doctors surveyed said that they would provide post-transplantation care for patients who underwent liver transplantation at another domestic center, in a foreign country or in China. However, respondents who suspected unethical procurement practices in China were more reluctant to do so.

The practice of transplant tourism has been decried by numerous national and international healthcare organizations. These organizations cite serious concerns about clandestine international brokers, surreptitious payment, coercion of organ donors (and/ or donor families) and substandard medical and surgical practices that may lead to lower success rates and higher risk for transmission of infectious disease.

International ethical guidelines exist to ensure that the donation of organs is voluntary, both in life and after death. Not all countries adhere to these ethical guidelines. When traveling from one country to another country for organ transplant surgery, patients risk using an organ obtained in an unsafe or unethical manner.

In 2005, the World Health Organization (WHO) reported the transplantation of 66,000 kidneys, 21,000 livers and 6,000 hearts. Approximately 10 percent of these procedures occurred via transplant tourism. Leading destination countries for transplant tourism include China, India, the Philippines and Pakistan. The number of organ transplant procedures in China is surpassed only by the U.S. According to the WHO, in 2005 China had 348 transplant centers, which performed 8,204 kidney and 3,493 liver transplantations.

Transplant tourism to China has been isolated as particularly controversial. Organ procurement from executed prisoners in China has been reported by the U.S. Department of State, non-governmental investigative reports and in medical literature. These reports indicate that over 95 percent of organ donors in China are prisoners. China's use of prisoners, particularly those slated for execution, represents the use of a vulnerable population that is particularly susceptible to coercion. For this reason, both live and deceased donor organ procurement from prisoners violates U.S. professional guidelines and international standards ratified by the World Medical Association Statement on Human Organ Donation and Transplantation.

"Physicians caring for patients in need of organ transplantation must balance the duty to the individual patient vs. the duty to society," says Dr. Scott Biggins of the University of California San Francisco, lead author of the study. Acting as patient advocates, most transplant professionals were not opposed to patients seeking transplantation at alternative centers to shorten waiting times. Yet, respondents who suspected unethical organ procurement practices in China would discourage patients from transplant tourism to China.

"We aim to raise awareness of the need for adherence to international accepted ethical standards for procurement of organs and regulation of transplant tourism by international regulatory and credentialing bodies," says Biggins.


'/>"/>

Contact: Sean Wagner
medicalnews@bos.blackwellpublishing.net
781-388-8550
Wiley-Blackwell
Source:Eurekalert

Related medicine news :

1. Majority of 2.4 Million U.S. Children With ADHD Not Diagnosed or Consistently Treated, According to New Gold Standard Study by Cincinnati Childrens Researchers
2. DaVita Acquires Majority Stake in HomeChoice Partners, Inc.
3. Maryland Pharmacists Urge House Majority Leader Hoyer to Put Patients First
4. Majority of House of Representatives Support Common-Sense Fix to Medicare Part D Prescription Drug Plan
5. New Survey Shows Majority of Employers Rank Smoking as One of Their Greatest Priority Health Issues, But Only 2 Percent Provide Comprehensive Smoking Cessation Benefits for Employees
6. Majority of IsoTis Stockholders Vote for Integra Acquisition
7. Pharmacists Press Conference Urging Senate Majority Leader Harry Reid to Fix Flawed Medicaid Drug Reimbursement Rule
8. Overwhelming Majority of Michigan Residents Favors Individual Health Insurance Market Reforms Supported by Blue Cross Blue Shield of Michigan
9. New National Poll: Majority of American Voters Oppose Bush Administrations Proposed Cuts to Medicare
10. New Home Safety Council(R) Research Shows the Majority of Families Underestimate the Danger of Poisoning Exposure at Home
11. Indiana University study finds majority of US physicians favor national health insurance
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:2/23/2017)... ... February 23, 2017 , ... Top cosmetic and periodontal ... program today with a new Indiegogo campaign . Individuals are now able ... in the Los Angeles area, either as a participating patient or through an Indiegogo ...
(Date:2/23/2017)... ... 2017 , ... Thomas Vas-Don suffered from severe injury due to ... able to successfully recover. In “ Origin & Insertion Charts for Massage Therapists ” ... principals of massage, anatomy , trigger points and referral pain patterns . ...
(Date:2/22/2017)... ... February 22, 2017 , ... ... It’s enough to overwork even the sharpest brain. , Power On, a mental ... activity without over clocking the brain. Each capsule contains Cognizin® Citicoline, a branded ...
(Date:2/22/2017)... (PRWEB) , ... February 22, 2017 , ... The ... to the thousands of individuals who have recently fallen victim to America’s opioid epidemic. ... in Orange County, California, where they are free from the shame, stigma, and ...
(Date:2/22/2017)... Northbrook, IL (PRWEB) , ... February 22, 2017 , ... ... stories, is proud to once again feature Heroes On The Water (HOW), a non-profit ... This season’s all new episode has series host ‘Mike D’ traveling to Lake Denmark, ...
Breaking Medicine News(10 mins):
(Date:2/23/2017)... , Feb. 23, 2017 Regulus Therapeutics ... discovery and development of innovative medicines targeting microRNAs, today ... 2016 financial results on Thursday, March 2, 2017 after ... conference call and webcast on March 2, 2017 at ... full year 2016 financial results and provide a general ...
(Date:2/23/2017)... The fast-growing cannabis market is expected to create ... According to the 2017 Legal Marijuana Outlook, published by New ... jobs by 2020, with an implied growth rate of more ... accelerating pace of cannabis legalization is considered as the main ... will further create more business ventures and boost the economy. ...
(Date:2/23/2017)... South Korea , Feb. 23, 2017 LG Innotek ... UV-C LED for sterilization applications. As its sterilization performance is 1.5 ... produces the short wavelength ultraviolet rays in the range of 200 -- ... the proliferation of bacteria by destroying their DNA. LG Innotek,s product ... ...
Breaking Medicine Technology: