Transplanting Human Tissue
Ethics, Policy and Practice
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Product details:
- Publisher OUP Oxford
- Date of Publication 30 October 2003
- ISBN 9780195162844
- Binding Hardback
- No. of pages240 pages
- Size 164x240x18 mm
- Weight 481 g
- Language English 0
Categories
Short description:
This book is the first comprehensive exploration of the burgeoning American tissue transplantation industry. It explains the organization and technical developments in the tissue industry, the expanding clinical uses of donated human skin, bones, ligaments and other musculoskeletal tissue, and how the industry is regulated. This explanation provides a background for exploring the ethical issues of commercialization of body parts, informed consent for donor families, and good stewardship for the tissue industry.
MoreLong description:
The use of human tissue for transplantation is becoming a billion-dollar business. This book is the first comprehensive exploration of the American tissue transplantation industry. It traces the chain of distribution of musculoskeletal tissue (e.g. bones and ligaments) and skin from the generous donation of grieving families to its transplantation into hundreds of thousands of persons each year. Commodification, commercialization, and the occasional use of tissue for "cosmetic" surgery have raised ethical questions about the acceptability of "markets" in human body parts that have been altruistically donated by families. Inevitably, questions about the informed consent and the need for responsible stewardship by the industry have been raised, often in the Press.
The book provides a comprehensive background to these ethical problems by explaining the historical development, breadth, and organization of the tissue industry, including the technical developments that have made it simultaneously clinically relevant and an attractive market for investment capital. It explores the similarities and differences in how government regulates other tissues and solid organs (such as hearts and kidneys). Contributions to the book come from an interdisciplinary group of scholars, industry representatives, government regulators, and, not least, families who have donated tissue from their dead loved ones.
The analysis of the ethical issues is accessible; this is not a book just for philosophers . . . As other countries struggle with how to regulate new and existing uses of human tissue they have much to learn from the United States' experience, some of which is well described in this slim volume.
Table of Contents:
Part I: Tissue Banking, Transplantation and Regulation
From Donor to Recipient: The Pathway and Business of Donated Tissues
Tissue Banking - Past, Present & Future
Clinical Aspects of Allograft Tissue
Skin Transplantation: Clinical Applications and Current Issues
The View from the Food and Drug Administration
Part II: Donor Family Perspectives
Andy's Gift: A Donor Family's Perspective
The Gift of Tissue: A Donor Mom's Perspective
Part III: Comparisons with Other Tissues and Organs
Legal Characterizations of Human Tissue
Ethics of Allocation: Lessons from Organ Procurement History
Part IV: Ethical Issues
The Gift and the Market: Cultural Symbolic Perspectives
Developing Hospital Policy: The University of Wisconsin Experience
Informed Consent
Concluding Thoughts and Recommendations
Glossary
Appendices
Model Elements of Informed Consent for Organ and Tissue Donation
Bill of Rights for Donor Families
Informed Consent Policy for Tissue Donation
Anatomical Gift Form
