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Split liver transplantation : papering over the cracks of the organ shortage
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Moorlock, Greg, Neuberger, James and Draper, Heather (2015) Split liver transplantation : papering over the cracks of the organ shortage. Clinical Ethics, 10 (3). pp. 83-89. doi:10.1177/1477750915599703 ISSN 1477-7509.
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Official URL: http://dx.doi.org/10.1177/1477750915599703
Abstract
Splitting livers allows two people (usually an adult and a child) to receive a liver transplant from one donated adult liver, but the risks to the adult recipient are greater than if they had received the equivalent whole liver. It has been suggested, therefore, that splitting livers harms adult recipients. Without liver splitting, however, there would be few livers available for children, and paediatric waiting time and waiting list mortality would significantly increase. In this paper, we argue that although splitting livers makes adults worse off, this should be considered sub-optimal benefit rather than harm. We explore justifications for sub-optimally benefitting adults in this way and consider alternatives to the current approach. We argue that splitting livers masks the more fundamental problem of low paediatric donation rates and that increasing the number of paediatric donations would improve the situation for both adult and paediatric liver patients.
| Item Type: | Journal Article | ||||
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| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Social Science & Systems in Health (SSSH) Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| Journal or Publication Title: | Clinical Ethics | ||||
| Publisher: | Royal Society of Medicine Press Ltd. | ||||
| ISSN: | 1477-7509 | ||||
| Official Date: | 28 August 2015 | ||||
| Dates: |
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| Volume: | 10 | ||||
| Number: | 3 | ||||
| Page Range: | pp. 83-89 | ||||
| DOI: | 10.1177/1477750915599703 | ||||
| Status: | Peer Reviewed | ||||
| Publication Status: | Published | ||||
| Access rights to Published version: | Open Access (Creative Commons) |
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