Open AccessDefining a Willingness-to-transplant Threshold in an Era of Organ Scarcity: Simultaneous Liver–kidney Transplant as a Case Example
Author(s) -
Xingxing S. Cheng,
Jeremy D. Goldhaber-Fiebert,
Jane C. Tan,
Glenn M. Chertow,
Woojin Kim,
Anji Wall
Publication year - 2020
Publication title -
transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.45
H-Index - 204
eISSN - 1534-6080
pISSN - 0041-1337
DOI - 10.1097/tp.0000000000002788
Subject(s) - scarcity , equity (law) , organ transplantation , health care rationing , transplantation , medicine , organ donation , willingness to pay , intensive care medicine , economics , health care , microeconomics , surgery , law , political science , economic growth
Organ scarcity continues in solid organ transplantation, such that the availability of organs limits the number of people able to benefit from transplantation. Medical advancements in managing end-stage organ disease have led to an increasing demand for multiorgan transplant, wherein a patient with multiorgan disease receives >1 organ from the same donor. Current allocation schemes give priority to multiorgan recipients compared with single-organ transplant recipients, which raise ethical questions regarding equity and utility.