Intellectual disability impedes decision-making in organ transplantation
Current Psychiatry. 2016 February;15(2):e1-e3
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The committee’s decision was aided by the rationale that dialysis is readily available and is a sustainable alternative to transplantation.
Mr. B’s case raises an ethical question
We speculate what the team’s decision about transplantation would have been if Mr. B (1) had a living donor or (2) was being considered for a heart, lung, or liver transplant—for which there is no analogous procedure to dialysis to sustain the patient.
- Baqi N, Tejani A, Sullivan EK. Renal transplantation in Down syndrome: a report of the North American Pediatric Renal Transplant Cooperative Study. Pediatr Transplant. 1998;2(3):211-215.
- Benedetti E, Asolati M, Dunn T, et al. Kidney transplantation in recipients with mental retardation: clinical results in a single-center experience. Am J Kidney Dis. 1998;31(3):509-512.