This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (19)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

An Advance-Directive Organ Registry

Irwin Kleinman, MD, FRCPC; Frederick H. Lowy, MD, FRCPC

Arch Intern Med. 1992;152(7):1484-1488.

Abstract
Living organ donation should be recognized as an ethical compromise to the principle of nonmaleficence (doing no harm), given the risks healthy donors are allowed to assume. Living organ donation should be reserved for situations in which there is no acceptable alternative. Increasing the availability of cadaveric organs is most desirable, since it would decrease (although probably not eliminate) the need for living organ transplantation and would provide organs (ie, hearts) that could not otherwise be obtained. We propose the development of an incentive-based Advance-Directive Organ Registry, in which all adults are encouraged to register their advance directive regarding organ donations. Those individuals agreeing to permit usable organs to be taken at the time of death would receive priority for organs generated by the program, should a transplant become necessary when there is a shortage of organs. The proposed Advance-Directive Organ Registry is firmly founded on the principles of autonomy, beneficence, and justice.

(Arch Intern Med. 1992;152:1484-1488)

Author Affiliations
From the Centre for Bioethics and the Departments of Psychiatry, University of Toronto (Ontario) (Drs Kleinman and Lowy), Mount Sinai Hospital, Toronto (Dr Kleinman), and The Toronto Hospital (Dr Lowy).

Footnotes
Accepted for publication January 17, 1992.

Reprint requests to Department of Psychiatry, Mount Sinai Hospital, 600 University Ave, Toronto, Ontario, Canada M5G 1X5 (Dr Kleinman).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

The allocation of organs donated by altruistic strangers.
Steinberg
ANN INTERN MED 2006;145:197-203.
ABSTRACT | FULL TEXT  

Living non-related versus related renal transplantationits relationship to the social status, age and gender of recipients and donors
Khajehdehi
Nephrol Dial Transplant 1999;14:2621-2624.
ABSTRACT | FULL TEXT  

Living Related Donation in Lung Transplantation: Ethical Considerations
Kramer and Sprung
Arch Intern Med 1995;155:1734-1738.
ABSTRACT  

Living Organ Donation Is Still Ethically Acceptable
Spital
Arch Intern Med 1993;153:529-529.
ABSTRACT  

Living Organ Donation Is Still Ethically Acceptable-Reply
Kleinman and Lowy
Arch Intern Med 1993;153:529-530.
ABSTRACT