0
The Pediatric Forum |

The Ethics of Hematopoietic Stem Cell Donation by Minors

Lainie Friedman Ross, MD, PhD
Arch Pediatr Adolesc Med. 2009;163(11):1065-1066. doi:10.1001/archpediatrics.2009.194.
Text Size: A A A
Published online

Extract

The article by Kesselheim et al1 regarding the ethics of hematopoietic stem cell (HSC) donation by biological siblings of adopted children points out the importance of intimacy in justifying minors participating as HSC donors. However, the article highlights one common error in this process. Because HLA testing is a simple blood test, parents and physicians believe that they can test children, and do so without considering its broader implications. While the physical risk is minimal, if the child is found to be HLA identical to the potential recipient, questions arise about whether the child is an appropriate HSC donor. This question, however, should be asked before HLA testing is done. In that vein, the case cited by Kesselheim et al was problematic despite the fact that the siblings were found to be non–HLA compatible: nonintimate siblings should not be evaluated to determine if they are eligible to serve as HSC donors.2

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
/>
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Topics
PubMed Articles
An ethical framework for the disposal of autologous stem cells. Drug Metabol Drug Interact 2013;28(1):5-12.
Jobs
brightcove.createExperiences();