Organ trafficking in Canada: Is it relevant to the urologist?
Subject: Transplantation of organs, tissues, etc. (Health aspects)
Transplantation of organs, tissues, etc. (Patient outcomes)
Authors: Luke, Patrick P.W.
Moser, Michael
Pub Date: 10/01/2011
Publication: Name: Canadian Urological Association Journal (CUAJ) Publisher: Canadian Urological Association Audience: Academic Format: Magazine/Journal Subject: Health Copyright: COPYRIGHT 2011 Canadian Urological Association ISSN: 1911-6470
Issue: Date: Oct 1, 2011 Source Volume: 5 Source Issue: 5
Geographic: Geographic Scope: Canada Geographic Code: 1CANA Canada
Accession Number: 269381741
Full Text: Author(s): Patrick P.W. Luke, MD, FRCSC, Michael Moser, MD, FRCSC

Organ transplant commercialism has been condemned by the World Health Organization for decades. In 2008, the Istanbul Declaration proclaimed that the poor who sell their organs are being exploited, while unregulated and illegal transplantation place physical harm to both organ donor and recipient.

In addition to the ethical issues that underlie the practice of transplant tourism, there is mounting evidence that transplant outcomes are poor. The authors have unequivocally shown that recipient mortality and morbidity rates are unacceptably high, likely as a result of cost-cutting and limited expertise in the practice of commercial transplantation.[sup.1] The fact that a sister renal transplant group in Ontario has published similar data indicate that this phenomenon is highly relevant to Canadian transplant centres.[sup.2] Accordingly, the Canadian Society of Transplantation has provided a policy statement to summarize the Canadian Healthcare Providers' fiduciary and legal obligations to patients who participate in transplant tourism both before and after transplantation.[sup.3] All Canadian surgeons and physicians who provide care to renal transplant recipients should have a working knowledge of this policy statement.

Competing interests: None declared.

References

1.. Kapoor A, Kwan KG, Whelan JP. Commercial renal transplantation: A risky venture? A single Canadian centre experience. Can Urol Assoc J 2011;55:335-4010.5489/cuaj.11018.

2.. Prasad GV, Shukla A, Huang M, et al. Outcomes of commercial renal transplantation: a Canadian experience. Transplantation 2006;82:1130-5.

3.. Gill JS, Goldberg A, Prasad GV, et al. Policy statement of Canadian Society of Transplantation and Canadian Society of Nephrology on organ trafficking and transplant tourism. Transplantation 2010;90:817-20.

Author Affiliation(s):

[1] Department of Surgery, Division of Urology, University of Western Ontario, Schulich School of Medicine London, ON;

[2] Department of Surgery, Division of General Surgery, University of Saskatchewan, Saskatoon, Saskatchewan

Correspondence: Dr. Patrick P.W. Luke, London Health Sciences Centre, University Campus, 339 Windermere Rd, London, ON N6A 5A5; fax: 519-663-3858; patrick.luke@lhsc.on.ca
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