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:6/28/2017)... , ... June 28, 2017 , ... ... management and financial planning assistance to clients in southern Montana, is announcing a ... by Zoo Montana. , The outreach programs offered by Zoo Montana provide students ...
(Date:6/28/2017)... (PRWEB) , ... June 28, 2017 , ... ... consulting firm servicing communities throughout the greater Cincinnati metropolitan area, is teaming up ... temporary lodgings for families with children receiving treatment in nearby hospitals. , Ronald ...
(Date:6/27/2017)... (PRWEB) , ... June 27, 2017 , ... DrugDev ... study is whether they can trust the sponsor to pay them correctly and on ... sponsors and CROs establish payment strategies that encourage sites to work on their studies. ...
(Date:6/27/2017)... ... 2017 , ... The Congressional Budget Office (CBO) projects that the Better Care ... Protection and Affordable Care Act (ACA), would result in 22 million Americans losing their ... , More than 20 million Americans have gained health insurance under the ACA, and ...
(Date:6/27/2017)... ... , ... A January 18th article on medGadget reports that the ... the year 2024 according to a new report. The article also notes that the ... Los Angeles area clinic Beverly Hills Periodontics & Dental Implant Center says that it ...
Breaking Medicine News(10 mins):
(Date:6/19/2017)... HORSHAM, Pa. , June 19, 2017  Researchers ... announced today that they will host a live, complimentary ... Perspectives from the benchtop to the real world" on ... PM EDT. This webinar will feature ... a rare look into the manipulation techniques abusers use ...
(Date:6/14/2017)... The Bio Supply Management Alliance (BSMA) has ... and the Biomedical Manufacturing Network to advance ... California by providing a platform for ... workforce development. The primary focus of this alliance is ... well as small and mid-sized biomedical companies. ...
(Date:6/11/2017)... June 10, 2017  Eli Lilly and Company (NYSE: ... Phase 3 studies of galcanezumab, an investigational treatment for ... data on several key secondary endpoints for galcanezumab compared ... these studies (EVOLVE-1, EVOLVE-2 and REGAIN) will be presented ... meeting in Boston . ...
Breaking Medicine Technology: