title: [Renal transplantation: ethical issues].
abstract: One of the most significant advances in medicine during the last 50 years is the development of organ transplantation. In the context of chronic kidney diseases, renal transplantation offers patients a better clinical outcome than other treatment options. However, the benefits of organ transplantation have not been maximized due to an inadequate supply of organs for transplantation. Despite the establishment of elaborate legal rules for organs procurement, both on deceased and living donors in numerous countries, ethical concerns remain. Most of them are consequences of the strategies implemented or proposed to address the so-called organ shortage. The involvement of society in these complex problems is crucial as numerous questions emerge: could actual state of organ procurement change? Is it possible and/or realistic to increase the number of organs, with respects to living donors or deceased persons? Is the shortage an indicator to limit the use of kidney transplantation? How do we maintain efficiency and justice, in this context.
authors.affiliation: Service de transplantation rénale, hôpital Necker, Assistance publique-Hôpitaux de Paris, 149, rue de Sèvres, 75015 Paris, France. marie-france.mamzer@nck.aphp.fr
authors.forename: Marie-France
authors.initials: MF
authors.lastname: Mamzer-Bruneel
authors.forename: Emmanuelle Grand
authors.initials: EG
authors.lastname: Laforêt
authors.forename: Henri
authors.initials: H
authors.lastname: Kreis
authors.forename: Éric
authors.initials: É
authors.lastname: Thervet
authors.forename: Frank
authors.initials: F
authors.lastname: Martinez
authors.forename: Renaud
authors.initials: R
authors.lastname: Snanoudj
authors.forename: Christian
authors.initials: C
authors.lastname: Hervé
authors.forename: Christophe
authors.initials: C
authors.lastname: Legendre
mesh_terms: D003643:Death; D006801:Humans; D016030:Kidney Transplantation / Q000941:ethics*; D019724:Presumed Consent / Q000941:ethics; D014019:Tissue Donors / Q000941:ethics* / Q000600:supply & distribution*; D009927:Tissue and Organ Procurement / Q000941:ethics*; D014850:Waiting Lists