BMJ 2007;335:634 (29 September), doi:10.1136/bmj.39349.347801.DB
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German media describe allocation of organs to Saudi patients as unfair
Annette Tuffs
Heidelberg
| The first 150 words of the full text of this article appear below. |
The University Hospital of Kiel, in northern Germany, has been criticised for transplanting livers from cadavers to two Saudi patients, ahead of other, native German patients who had been on the waiting list longer.
The Saudi patients had been meant to receive a transplant from relatives, but they benefited from a recent change in the rules of Eurotransplant, the body that coordinates transplant allocation across seven European countries, propelling them to the top of the waiting list, even though they had only recently arrived in Germany and had a donor relative lined up.
Under the rule change, patients are given scores as to the urgency of their case that are based solely on laboratory blood test results (creatinine and bilirubin concentrations and prothrombin time). The score is given higher priority than the length of time the patient has been waiting for a transplant. The system, known as the model for
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