Denying renal transplantation to an adolescent medical cannabis user: An ethical case study.

Abstract:

:Medical cannabis is now legal in over half of the United States. As more patients adopt this unconventional therapy, it is inevitable that potential transplant recipients will disclose their cannabis use during transplant evaluation. Transplant teams are tasked with the decision to utilize a pressure resource, often with little guidance from international and national professional organizations. Many healthcare providers remain uniformed or misinformed about the risks of cannabis use and organ transplantation. In order to illustrate the multifaceted and complex evaluation of transplant patients using medical cannabis, this article presents the case of a 20-year-old woman recommended for renal transplant who was originally denied active listing due to her medical cannabis use. A review of the literature explores the perceived and actual risks of cannabis use in the immunocompromised patient. Furthermore, a discussion of the ethics of medical cannabis use and organ transplantation is included with recommendations for multidisciplinary transplant teams.

journal_name

Pediatr Transplant

authors

Ryan JE,Noeder M,Burke C,Stubblefield SC,Sulieman S,Miller EG

doi

10.1111/petr.13467

subject

Has Abstract

pub_date

2019-08-01 00:00:00

pages

e13467

issue

5

eissn

1397-3142

issn

1399-3046

journal_volume

23

pub_type

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    更新日期:2021-02-01 00:00:00

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    更新日期:2015-02-01 00:00:00

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    更新日期:2016-12-01 00:00:00

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    pub_type:

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    authors: Ryan TD,Absalon MJ,de Alarcon A,Gupta A,Peters AL,Lorts A,Danziger-Isakov LA,Chin C

    更新日期:2017-11-01 00:00:00

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    更新日期:2017-09-01 00:00:00

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    更新日期:2009-11-01 00:00:00

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    authors: Sheflin-Findling S,Annunziato RA,Chu J,Arvelakis A,Mahon D,Arnon R

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    更新日期:2006-03-01 00:00:00

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    doi:

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    pub_type: 杂志文章,评审

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    更新日期:2012-02-01 00:00:00

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    更新日期:2019-08-01 00:00:00

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    journal_title:Pediatric transplantation

    pub_type: 杂志文章

    doi:10.1111/j.1399-3046.2005.00275.x

    authors: Tran L,Hébert D,Dipchand A,Fecteau A,Richardson S,Allen U

    更新日期:2005-04-01 00:00:00

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    journal_title:Pediatric transplantation

    pub_type: 杂志文章

    doi:

    authors: Woo MS,MacLaughlin EF,Horn MV,Wong PC,Rowland JM,Barr ML,Starnes VA

    更新日期:1998-08-01 00:00:00

  • Perioperative management in pediatric heart transplantation from 1988 to 2001: anesthetic experience in a single center.

    abstract::Pediatric cardiac transplantation is currently an accepted option for end-stage heart disease and congenital cardiac malformations. This report focuses on the anesthetic perioperative management in 12 yr. From 1988 to 2001 we performed 90 heart transplantations in 88 children, infants and neonates. The pediatric heart...

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    更新日期:2004-06-01 00:00:00

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    journal_title:Pediatric transplantation

    pub_type: 杂志文章

    doi:10.1111/petr.12364

    authors: Youn JK,Lee JM,Yi NJ,Choi YR,Suh SW,You T,Lee KW,Jung CW,Lee JW,Bae EJ,Ko JS,Kim WH,Park KW,Suh KS

    更新日期:2014-12-01 00:00:00

  • Tracking of blood pressure and its impact on graft function in pediatric renal transplant patients.

    abstract::We studied tracking of BP and its impact on GFR in 44 PRTP followed for 56 months. Three months PT 77% had elevated SBP percentile. First year SBP and DBP correlated positively with final values (p < 0.0001, 0.0002, respectively). Pretransplant and three month PT SBP correlated positively (p = 0.02). At one yr, SBP an...

    journal_title:Pediatric transplantation

    pub_type: 杂志文章

    doi:10.1111/j.1399-3046.2007.00753.x

    authors: Silverstein DM,Leblanc P,Hempe JM,Ramcharan T,Boudreaux JP

    更新日期:2007-12-01 00:00:00