Synopses & Reviews
The use of human tissue for transplantation is becoming a billion-dollar business. This book is the first comprehensive exploration of the American tissue transplantation industry. It traces the chain of distribution of musculoskeletal tissue (e.g. bones and ligaments) and skin from the generous donation of grieving families to its transplantation into hundreds of thousands of persons each year. Commodification, commercialization, and the occassional use of tissue for "cosmetic" surgery have raised ethical questions about the acceptability of "markets" in human body parts that have been altruistically donated by families. Inevitably, questions about the informed consent and the need for responsible stewardship by the industry have been raised, often in the Press.
The book provides a comprehensive background to these ethical problems by explaining the historical development, breadth, and organization of the tissue industry, including the technical developments that have made it simultaneously clinically relevant and an attractive market for investment capital. It explores the similarities and differences in how government regulates other tissues and solid organs (such as hearts and kidneys). Contributions to the book come from an interdisciplinary group of scholars, industry representatives, government regulators, and not least, families who have donated tissue from their dead loved ones.
Review
"The editors provide a detailed and intriguing overview of the nonprofit and for-profit enterprises that are active between two events: the generous and unselfish donation of tissue by grieving families and the transplantation of that tissue into a human recipient."--Doody's
"...well written and well edited...the first systematic examination of the issues surrounding tissue transplantation..."--UNOS Update
"...an intriguing review of the development of human tissue donation in the USA." --British Journal of Surgery
"I highly recommend this wonderful book for professional and personal reflection, since all of us may need to make an informed decision regarding our own willingness to serve as a donor, to consent to a loved one's donation, or to become, or to clinically care for, a tissue recipient." --New England Journal of Medicine
Transplanting Tissue: Ethics, Policy, and Practice is the first scholarly treatment of the important issues surrounding tissue transplantation. Multi-disciplinary, edited volumes often are plaged by uneven writing, gaps and overlaps in coverage, and poor editing. The editors have thankfully avoided these common maladies to create an indispensable resource that should serve to stimulate critical analysis of the issues surrounding tissue transplantation."--American Journal of Bioethics
Synopsis
This book is the first comprehensive exploration of the burgeoning American tissue transplantation industry. It explains the organization and technical developments in the tissue industry, the expanding clinical uses of donated human skin, bones, ligaments and other musculoskeletal tissue, and how the industry is regulated. This explanation provides a background for exploring the ethical issues of commercialization of body parts, informed consent for donor families, and good stewardship for the tissue industry.
Table of Contents
Part I 1. From Donor to Recipient: The Pathway and Business of Donated Tissues, Martha W. Anderson and Renie Schapiro
2. Tissue Banking - Past, Present and Future, Martha W. Anderson and Scott Bottenfield
3. Clinical Aspects of Allograft Tissue, John T. Makley and Richard Nicholas
4. Skin Transplantation: Clinical Applications and Current Issues, Glenn Greenleaf
5. The View from the Food and Drug Administration, Jill Hartzler Warner and Kathryn C. Zoon
Part II
6. Andy's Gift: A Donor Family's Perspective, John P. Moyer
7. The Gift of Tissue: A Donor Mom's Perspective, Ellen Gottman Kulik
Part III
8. Legal Characterizations of Human Tissue, R. Alta Charo
9. Ethics of Allocation: Lessons from Organ Procurement History, Jeffrey Prottas
Part IV
10. The Gift and the Market: Cultural Symbolic Perspectives, Courtney S. Campbell
11. Developing Hospital Policy: The University of Wisconsin Experience, Norman Fost
12. Informed Consent, Stuart J. Youngner
13. Concluding Thoughts and Recommendations, Stuart J. Youngner, Renie Schapiro and Martha W. Anderson
Glossary
Appendices
A. Model Elements of Informed Consent for Organ and Tissue Donation American Association of Tissue Banks, Association of Organ Procurement Organizations, Eye Bank Association of America
B. Donor's Bill of Rights National Donor Family Council
C. Informed Consent Policy for Tissue Donation National Donor Family Council
D. Anatomical Gift Form University of Wisconsin Hospital and Clinics