Advertisement

The selection and de-selection of patients for dialysis and transplantation

  • V. Parsons
  • P. M. Lock

Abstract

Any modern society should be judged among other aspects, by the way in which its sick and handicapped are cared for and assisted. That is an issue of public policy that no-one can ultimately escape (Maxwell, 1981). However, no country irrespective of its wealth can supply its population with all the types of treatment that medical science has the potential to offer. It has been a matter for central and local policy in the UK that the treatment of renal failure should expand slowly as far as hospital-based renal units and dialysis facilities are concerned (Renal Association, 1976), in the hope that transplantation, a cheaper form of treatment, would in time care increasingly for those who need renal replacement therapy (Pincherle, 1977) thereby avoiding the massive increase in dialysis facilities which has occurred in the majority of European countries.

Keywords

Renal Replacement Therapy Continuous Ambulatory Peritoneal Dialysis Dialysis Facility Australia Antigen Advanced Malignant Disease 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Caine, R. Y. (1982). Whatever happened to charity ? Br. Med. J., 284, 998CrossRefGoogle Scholar
  2. Cameron, S.C., Chantier, C., Haycock, G., Ogg, C. S., Williams, D. G., Jones, N., Hilton, P. J. and Wing, A. J. (1981). Audit in renal failure. Br. Med. J., 283, 555CrossRefGoogle Scholar
  3. Chester, A. C., Rakowski, T. A. and Argy, W.P. (1979). Haemodialysis in the eighth and ninth decades of life. Arch. Intern. Med., 139, 1001PubMedCrossRefGoogle Scholar
  4. Farmer, C.J., Bewick, M., Parsons, V. and Snowden, S.A. (1979). Survival on home haemodialysis: its relationship with physical symptomatology, psychosocial background and psychiatric morbidity. Psychol. Med., 9, 515PubMedCrossRefGoogle Scholar
  5. Fox, R. C. (1981). Exclusion for dialysis. A sociologic and legal perspective. Kidney Int, 19, 139CrossRefGoogle Scholar
  6. Jacobs, C., Broyer, M., Brunner, F.P., Brynger, H., Donckerwolcke, R. A., Kramer, P., Selwood, N. H., Wing, A. J. and Blake, B. H. (1981). Combined report on regular dialysis and transplantation in Europe, XI, 1980 Proc. Eur. Dial. Transplant Assoc., 18, 38Google Scholar
  7. Kennedy, I. (1981). The Last Taboo in the Unmasking of Medicine, Chapter 7. ( London: Allen & Unwin )Google Scholar
  8. Knapp, M. S. (1982). Renal failure: dilemmas and developments. Br. Med. J., 284, 847CrossRefGoogle Scholar
  9. Leader (1981). Audit in renal failure: the wrong target. Br. Med. J., 283, 261Google Scholar
  10. Leader (1981). Ethics and the nephrologist. Lancet, 1, 594Google Scholar
  11. Leader (1981). The statistics of life and hope. Times, July 24, 15Google Scholar
  12. Leenan, H. J. J. (1979). The selection of patients in the event of a scarcity of medical facilities. Int. J. Med. Law., 2, 161Google Scholar
  13. Leenan, H. J. J. (1982). Selection of patients. J. Med. Ethics, 8, 33CrossRefGoogle Scholar
  14. Maxwell, R. J. (1981). Health and Wealth: An International Study of Health Care Spending( Aldershot: Lexington Books )Google Scholar
  15. Medical Services Study Group of the Royal College of Physicians, (1981). Deaths from chronic renal failure under the age of 50. Br. Med. J., 283, 283CrossRefGoogle Scholar
  16. McIntyre, K. M. (1981). Recent case law and medical life and death decision making. Ala. J. Med. Sci., 18, 381Google Scholar
  17. Parsons, V. and Lock, P. M. (1980). Triage and the patient with renal failure. J. Med. Ethics, 6, 173PubMedCrossRefGoogle Scholar
  18. Pincherle, G. (1977). Services for patients with chronic renal failure in England and Wales. Health Trends, 9, 41Google Scholar
  19. Renal Association Executive (1976). Distributions of nephrological services for adults in Great Britain. Br. Med. J., 2, 903CrossRefGoogle Scholar
  20. Robinson, B. H. B. (1978). Selection of patients for dialysis and transplantation. In Anderson, J. L., Parsons F. M. and Jones, D. E. (eds.). Living with Renal Failure. pp. 9–18. ( Lancaster: MTP Press )CrossRefGoogle Scholar
  21. Taylor, T. R., Aitchison, J., Parker, L. S. and Moore, M. R. (1975). Individual differences in selecting patients for regular haemodialysis. Br. Med. J., 2, 380PubMedCrossRefGoogle Scholar
  22. de Wardener, H. E. (1980). Psychological and socio-economic aspects of dialysis and transplantation. Proc. Eur. Dial. Transplant Assoc., 17, 519PubMedGoogle Scholar

Copyright information

© MTP Press Limited 1983

Authors and Affiliations

  • V. Parsons
  • P. M. Lock

There are no affiliations available

Personalised recommendations