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Rethinking SPRT

Arch Intern Med. 1999;159:427-428.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

IN THIS ISSUE OF THE ARCHIVES, Sade¹ proposes a novel system for the acquisition and distribution of human organs for transplantation. His system, the Selection of Potential Recipients of Transplants (SPRT), would allow donors or relatives of a medically suitable donor to choose a category of recipient or a specific individual recipient who would receive their loved one's donated organ or organs.

The impetus for considering a change in the current system of organ procurement is 3-fold. First, many patients die while awaiting an organ. Second, the organ gap is not because of a lack of suitable donors, but a lack of actual donations from among the pool of suitable donors. The low rate of donation among suitable donors is due most commonly to denial of consent for donation by the potential donor's survivors. Third, there are many disincentives to donation, as reviewed by Sade.

SPRT's underlying hypothesis is that . . . [Full Text of this Article]

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Cadaveric Organ Donation: Rethinking Donor Motivation
Robert M. Sade
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