Criteria for selection of adult recipients for heart, cadaveric kidney and liver transplantation

Noorani H Z, McGahan L
Record ID 31999009327
English, French
Authors' objectives:

This study reviews current patient listing practices for heart, cadaveric kidney, and liver transplantation from ethical and social viewpoints.

Authors' results and conclusions: The survey results demonstrate that heart, cadaveric kidney, and liver centres in Canada generally practice similar methods of listing patients awaiting transplantation. However, the degree of importance given to certain patient criteria varies, both within a particular organ group and between organ types. Differences between centres within a solid organ type were observed in the priority given to such criteria as recipient age (kidney), employment status (heart), recipient nationality and mental competence (liver). The degree of importance given to factors such as tobacco use, and the requirement for established programs for social and community support, vary among the solid organ types.
Authors' recommendations: Given these findings, it would be of benefit to standardize organ-specific criteria at the national level for patients waiting for heart, cadaveric kidney, and liver transplantation to ensure equitable access to this public resource in Canada. This is of paramount importance given that there are ethical and social implications associated with the factors under consideration. Criteria for patient listing have implications for human rights and access to health care, informed consent, and the role of control and responsibility for illness.
Authors' methods: Survey, Review
Project Status: Completed
URL for project:
Year Published: 1999
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: Canada
MeSH Terms
  • Ethics, Medical
  • Heart Transplantation
  • Kidney Transplantation
  • Liver Transplantation
  • Organ Transplantation
Organisation Name: Canadian Coordinating Office for Health Technology Assessment
Contact Address: 600-865 Carling Avenue, Ottawa, ON K1S 5S8 Canada. Tel: +1 613 226 2553, Fax: +1 613 226 5392;
Contact Name:
Contact Email:
Copyright: Canadian Coordinating Office for Health Technology Assessment
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.