Document Detail


Weighing potential candidates for kidney transplant: the ethics of exclusion for elevated body mass index.
MedLine Citation:
PMID:  23187054     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
With more than 80 000 patients in the United States on waiting lists for a kidney-and more than 100 000 patients beginning treatment for end-stage renal disease each year-transplant programs must evaluate potential recipients in a fair and efficient manner. To this end, certain "absolute exclusion criteria" have been proposed to screen out candidates who will not sufficiently benefit from transplant. Some programs use elevated body mass index as such an exclusion criterion, given that some studies have reported an association with increased risk of delayed graft function and acute rejection, longer hospitalization, and decreased overall graft survival. Upon further examination, however, elevated body mass index turns out to be a poor evaluative criterion for transplant candidates, as it is only variably associated with negative transplant outcomes. Moreover, use of a body mass index cutoff is potentially discriminatory and may mask underlying prejudice against persons of size.
Authors:
Robert Macauley
Related Documents :
12140454 - Airbag trauma induced cutaneous fistulae in a heart transplant patient.
24157004 - Is the graft function of living donor renal transplants associated with renal mass matc...
11260424 - Substitution of renal function through skin catharsis: evidence from the classical peri...
23155424 - Adiponectin mediated mhc class ii mismatched cardiac graft rejection in mice is il-4 de...
19028264 - Yin and yang of cytokine regulation in solid organ graft rejection and tolerance.
18685294 - Ischemic preconditioning in hepatic ischemia and reperfusion.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Progress in transplantation (Aliso Viejo, Calif.)     Volume:  22     ISSN:  1526-9248     ISO Abbreviation:  Prog Transplant     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2012-11-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100909380     Medline TA:  Prog Transplant     Country:  United States    
Other Details:
Languages:  eng     Pagination:  369-73     Citation Subset:  N    
Affiliation:
Fletcher Allen Health Care, University of Vermont College of Medicine, Burlington.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Negative effects of pretransplant body mass index on physical health-related quality of life after l...
Next Document:  Cancer after heart transplant: implications for practice.