Bioethics Issue

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organ_transplant_and_donation.ppt

Organ Transplant and Donation

Stats for Oregon

  • Overall: 48 years and more than 5,000 transplants
  • Annually: 200-plus transplants
  • To date, the OHSU Transplant Program has transplanted: 3,822 kidneys, 496 hearts, 570 livers, 126 pancreaes, and 24 lungs.

Heart Transplant

  • Started 1985
  • Medicare certified 1988
  • Total transplants: 496
  • 1-year survival 91%
  • Average length of stay post 13 days
  • Average wait for transplant 24 days

Liver Transplant

  • Started 1988
  • Medicare certified1993
  • Total transplants 872
  • 1-year survival 88%
  • Average length of stay post transplant, 10 days
  • Average wait 108 days

Kidney

  • Program started 1959
  • Medicare certified 1973
  • Total transplants 3,828
  • 3-year survival 86%
  • Average length of stay post transplant 6 days
  • Average wait 476 days

Pancreas Transplantation

  • Program started 1987
  • Total transplants 127
  • 1-year survival 88%
  • Average lenth of stay post transplant 8 days
  • Average wait 93 days

Some National Stats

  • Organ and Tissue Donation Statistics:
  • The national waiting list for organ donation is rising at the alarming rate of a new name every ten minutes, with 97,504 people currently on the list (10/5/07).
  • In 2006, 28,293 individuals received a life-saving organ transplant thanks to the generosity of a donor.

National Stats cont.

  • An average of 18 men, women, and children die each day waiting for an organ transplant; in 2006, there were 5,423 people who died waiting.
  • More than 1 million people benefit from tissue transplants each year.
  • In 2006, A single tissue donor can improve the quality of life for more than 50 people.

Donation

To donate in Oregon now you need to go to the web site and register.

http://www.donatelifenw.org/resources/

Having it stated on your drivers license is not enough.

Make sure your family knows your wishes because they can over turn what is stated.

Donation cont.

  • The only state that will go only off your drivers license is Minnesota and that is only in an emergency if family is unavailable.
  • You are able to state whether you want certain organs to be donated or not.

Selling Organs

  • Proponents for selling organs state that it is a way to reduce the amount of people that on the waiting list by increasing the amount of organs are available. If people get paid for their organs more people will be willing to donate.
  • They say that 70% of the kidneys will fail over the 10 years, but if there is an open market for organs there would be a much better over look if there were better matched donors.

Selling organs cont.

  • People that are extremely poor may look to this as a way to help themselves get ahead. They may not be informed about the risks involved, or may not understand what risks are involved.
  • Are this places doing all the testing on the donor to ensure it will go to a proper recipient. And that the donor has NO illnesses.

Bioethical issues

  • Should a person that has abused their body, (drugs, alcohol) be placed on the list? Should there be preferential treatment for people?
  • Should someone that is HIV positive be able to receive a transplant. If so, at what point in their disease process should it be considered to late to get a transplant. And should the organ only come from another person that is HIV positive?
  • Should there be a market for organs, after all they do this for eggs, sperm, and blood products.