The new medical malpractice crisis.
نویسندگان
چکیده
2281 include heart transplantations, but its design was revised to focus on those organs for which there is a greater need. It is hoped that funds will become available to add heart transplantation if the preliminary results are positive. Progress in the clinical management of HIV infection has been influenced not only by investigators and clinicians, but also by patients and their advocates. Revisiting the policy of excluding HIVinfected persons from consideration for solid-organ transplantation has involved collaboration among clinicians, basic and clinical scientists, patients, and activists. The patient described in the current case report is the senior author of the report and an academician. He is also an activist representing the concerns of people with HIV infection with regard to transplantation. Another patient, who is a prominent playwright and AIDS activist, received a liver transplant because of hepatitis B–induced cirrhosis more than a year ago. In the process, he has become acutely aware of the shortage of organs and is a vocal advocate for increasing the number of organs donated in the United States. This case report of a heart transplant in an HIV1–infected recipient who is doing well two years after transplantation, in conjunction with preliminary results from current studies of liver and kidney transplantation, provides hope that selected patients with HIV infection and end-organ failure can benefit from solid-organ transplantation. Bringing the worlds of HIV treatment and transplantation together opens up the possibilities of synergy and progress in important scientific arenas, including immunology and pharmacology; in clinical areas such as the management of peritransplantational hepatitis C; and in public policy. Such progress can benefit all patients who now need or might someday need a transplant and the families and friends who love them.
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عنوان ژورنال:
- The New England journal of medicine
دوره 348 23 شماره
صفحات -
تاریخ انتشار 2003