• Justifying Organ Allocation Ou...

Treffer: Justifying Organ Allocation Out of Sequence.

Title:
Justifying Organ Allocation Out of Sequence.
Authors:
Courtwright A; University of Utah Hospital.
Source:
The American journal of bioethics : AJOB [Am J Bioeth] 2026 Jan; Vol. 26 (1), pp. 60-70. Date of Electronic Publication: 2025 Sep 19.
Publication Type:
Journal Article
Language:
English
Journal Info:
Publisher: Taylor & Francis Country of Publication: United States NLM ID: 100898738 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1536-0075 (Electronic) Linking ISSN: 15265161 NLM ISO Abbreviation: Am J Bioeth Subsets: MEDLINE
Imprint Name(s):
Publication: <2008- > : Philadelphia, Pa. : Taylor & Francis
Original Publication: Cambridge, Mass. : MIT Press, c2001-
MeSH Terms:
Tissue and Organ Procurement*/ethics , Organ Transplantation*/ethics , Kidney Transplantation*/ethics , Tissue Donors*/ethics , Resource Allocation*/ethics , Health Care Rationing*/ethics, Humans ; United States ; Social Justice
Comments:
Comment in: Am J Bioeth. 2026 Jan;26(1):93-95. doi: 10.1080/15265161.2025.2594431.. (PMID: 41533109)
Comment in: Am J Bioeth. 2026 Jan;26(1):106-108. doi: 10.1080/15265161.2025.2594411.. (PMID: 41533111)
Comment in: Am J Bioeth. 2026 Jan;26(1):71-73. doi: 10.1080/15265161.2025.2594432.. (PMID: 41533113)
Comment in: Am J Bioeth. 2026 Jan;26(1):90-92. doi: 10.1080/15265161.2025.2594435.. (PMID: 41533115)
Comment in: Am J Bioeth. 2026 Jan;26(1):83-85. doi: 10.1080/15265161.2025.2594413.. (PMID: 41533116)
Comment in: Am J Bioeth. 2026 Jan;26(1):104-106. doi: 10.1080/15265161.2025.2604114.. (PMID: 41533119)
Comment in: Am J Bioeth. 2026 Jan;26(1):81-83. doi: 10.1080/15265161.2025.2594436.. (PMID: 41533122)
Comment in: Am J Bioeth. 2026 Jan;26(1):76-79. doi: 10.1080/15265161.2025.2594438.. (PMID: 41533123)
Comment in: Am J Bioeth. 2026 Jan;26(1):111-113. doi: 10.1080/15265161.2025.2594418.. (PMID: 41533126)
Comment in: Am J Bioeth. 2026 Jan;26(1):74-76. doi: 10.1080/15265161.2025.2594420.. (PMID: 41533127)
Comment in: Am J Bioeth. 2026 Jan;26(1):108-110. doi: 10.1080/15265161.2025.2594463.. (PMID: 41533128)
Comment in: Am J Bioeth. 2026 Jan;26(1):80-81. doi: 10.1080/15265161.2025.2594441.. (PMID: 41533129)
Comment in: Am J Bioeth. 2026 Jan;26(1):9-12. doi: 10.1080/15265161.2025.2594443.. (PMID: 41533132)
Comment in: Am J Bioeth. 2026 Jan;26(1):86-89. doi: 10.1080/15265161.2025.2594446.. (PMID: 41533134)
Comment in: Am J Bioeth. 2026 Jan;26(1):98-100. doi: 10.1080/15265161.2025.2594426.. (PMID: 41533136)
Comment in: Am J Bioeth. 2026 Jan;26(1):95-97. doi: 10.1080/15265161.2025.2594425.. (PMID: 41533137)
Comment in: Am J Bioeth. 2026 Jan;26(1):113-116. doi: 10.1080/15265161.2025.2594429.. (PMID: 41533140)
Contributed Indexing:
Keywords: Health policy; constructivism; organ allocation; organ transplantation; procedural justice; utilitarianism
Entry Date(s):
Date Created: 20250919 Date Completed: 20260114 Latest Revision: 20260114
Update Code:
20260114
DOI:
10.1080/15265161.2025.2554778
PMID:
40970607
Database:
MEDLINE

Weitere Informationen

The rise of Allocation Out of Sequence (AOOS) in organ transplantation in the United States has raised significant ethical concerns. By the end of 2024, 20% of kidneys were transplanted out of the standard match sequence, drawing regulatory scrutiny. Critics argue that AOOS fails to prevent organ nonuse, does not address underlying inefficiencies in organ allocation, lacks transparency, and worsens transplant-related disparities. In this paper, I outline the factors contributing to the expansion of AOOS and evaluate the normative arguments for and against its use. I suggest that the strongest critique of AOOS involves procedural justice. Drawing on a constructivist framework, I argue that AOOS violates the expectation that allocation policies be grounded in collective agreement. I identify considerations that should inform the revision of the AOOS pathway, emphasizing the need for shared norms to ensure procedural legitimacy.