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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
1993-6-17
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pubmed:abstractText |
OBJECTIVE: Cardiac transplantation has become an acceptable treatment option for end-stage congestive heart failure. Because of the increasing demand, there are not enough hearts to supply all patients in need of cardiac transplantation. This significant supply and demand imbalance necessitates that rationing decisions be made. This article will explore decisions made surrounding cardiac retransplantation. CONCLUSIONS: Early statistics suggest that survival for patients undergoing retransplantation is lower than first-time transplant recipients. In addition, the question of justice or fairness arises. Patients who are offered second and third heart transplants may deprive a significant number of patients who have not had their first chance at transplantation. The authors propose, based on medical suitability, respect for autonomy, and the principle of justice, that cardiac transplantation be a one-time treatment option. Retransplantation should not be allowed.
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pubmed:commentsCorrections | |
pubmed:keyword |
http://linkedlifedata.com/resource/pubmed/keyword/Analytical Approach,
http://linkedlifedata.com/resource/pubmed/keyword/Health Care Financing Administration,
http://linkedlifedata.com/resource/pubmed/keyword/Health Care and Public Health,
http://linkedlifedata.com/resource/pubmed/keyword/United Network for Organ Sharing
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:status |
MEDLINE
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pubmed:issn |
0147-9563
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
22
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
206-12
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pubmed:dateRevised |
2006-8-28
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pubmed:meshHeading |
pubmed-meshheading:8491656-Beneficence,
pubmed-meshheading:8491656-Ethical Theory,
pubmed-meshheading:8491656-Ethics, Medical,
pubmed-meshheading:8491656-Health Care Rationing,
pubmed-meshheading:8491656-Heart Transplantation,
pubmed-meshheading:8491656-Humans,
pubmed-meshheading:8491656-Patient Selection,
pubmed-meshheading:8491656-Personal Autonomy,
pubmed-meshheading:8491656-Reoperation,
pubmed-meshheading:8491656-Resource Allocation,
pubmed-meshheading:8491656-Social Justice,
pubmed-meshheading:8491656-Survival Rate,
pubmed-meshheading:8491656-Time Factors
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pubmed:articleTitle |
Cardiac retransplantation: determining limits.
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pubmed:affiliation |
Nursing Service (118S), Edward Hines Jr. Hospital, Department of Veterans Affairs, Hines, IL 60141.
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pubmed:publicationType |
Journal Article
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