Articulate the ethical questions in VCA, Describe the differences in the ethical challenges between VCA and Solid Organ Transplants and enumerate possible solutions.
The TTS-ILTS Paired Transplant Centers Program is a collaboration between The Transplantation Society (TTS) and the International Liver Transplantation Society (ILTS) supporting new liver transplant programs in emerging countries.
Dr. Joel Thomas Adler, Editorial Fellow, Transplantation
Verna EC, Connelly C, Dove LM, et al.
Transplantation: Publish Ahead of Print DOI: 10.1097/TP.0000000000003031
Liver allocation relies on the MELD-Na score, which was implemented as an objective measure to prioritize patients based upon disease severity. Verna and colleagues tested 30 patients samples at 9 different labs in a single UNOS region and found significant variability in calculated MELD-Na score: mean variability was 3, but this was worse at high MELD-Na scores. This variation in MELD-Na scores within the same allocation region raises a challenging source of bias and disparities in access to liver transplantation.
Nov. 20 - In an analysis of the new heart organ allocation system for transplant patients in the U.S., researchers have identified a signal of a decrease in heart transplant survival rates.
Nov. 25 - Researchers found no differences in outcomes between liver transplant recipients with a penicillin allergy label and matched controls, according to findings presented at the American College of Asthma Allergy & Immunology Science Meeting.
Nov. 21 - A recent study published in Muscle & Nerve appears to show that needle electromyography can play a major role in reinnervation in face transplantation.
Nov. 20 - With unexpected findings about a protein that's highly expressed in fat tissue, scientists at Scripps Research have opened the door to critical new understandings about obesity and metabolism. Their discovery, which appeared in the journal Nature, could lead to new approaches for addressing obesity and potentially many other diseases.
Nov. 25 - Researchers of a published study found patients with obesity who underwent robotic-assisted kidney transplantation had comparable patient and graft survival to those without obesity who underwent open transplant during the same time period. The rate of surgical complications was also low.