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The Ethics of Hematopoietic Stem Cell Donation by Minors—Reply
Jennifer C. Kesselheim, MD, MBE;
Leslie E. Lehmann, MD;
Nancy Frumer Styron, PsyD, JD;
Steven Joffe, MD, MPH
Arch Pediatr Adolesc Med. 2009;163(11):1065-1066.
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In reply
We thank Dr Ross for her response to our article on nonintimate minor siblings as HSC donors. She contends that ethical questions about whether a minor is an appropriate HSC donor should be asked before HLA testing is done. We concur with this position1 but respectfully disagree with her conclusion that our case "confirms the need for a donor advocate for all potential pediatric HSC donors."
There are several reasons why Ross's proposal is misguided. First, assigning an advocate to every potential minor donor, even before HLA compatibility is confirmed, would entail both logistical challenges and unreasonable resource demands, particularly given the safety of the donation procedure and the renewability of HSCs. Second, the argument that potential minor donors require an advocate devalues the role of physicians, nurses, psychosocial clinicians, . . . [Full Text of this Article] AUTHOR INFORMATION
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RELATED ARTICLE
Is Blood Thicker Than Water?: Ethics of Hematopoietic Stem Cell Donation by Biological Siblings of Adopted Children
Jennifer C. Kesselheim, Leslie E. Lehmann, Nancy Frumer Styron, and Steven Joffe
Arch Pediatr Adolesc Med. 2009;163(5):413-416.
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RELATED LETTER
The Ethics of Hematopoietic Stem Cell Donation by Minors
Lainie Friedman Ross
Arch Pediatr Adolesc Med. 2009;163(11):1065.
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