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The Journal of Heart and Lung Transplantation
International Society for Heart and Lung Transplantation.

COVID-19 and transplant research from China: An ethical dilemma

      The Journal of Heart and Lung Transplantation (JHLT) has maintained a policy of not publishing papers that do not comply with the 2007 ethics statement of the International Society for Heart and Lung Transplantation (ISHLT), which states: “Obtaining organs for transplantation from the bodies of executed prisoners contravenes the principle of voluntary donation.”

      International Society for Heart and Lung Transplantation. ISHLT Statement on Transplant Ethics. Available at:https://ishlt.org/publications-resources/professional-resources/standards-guidelines/health-policy-guidance-documents.

      Authors are required to indicate that their research complies with the ISHLT policy. The clause pertaining to executed prisoners is particularly significant for Chinese authors, as China is the only country where widespread, state-sanctioned procurement of organs from prisoners has occurred and may still be occurring. ,
      • Robertson MP
      • Hinde RL
      • Lavee J
      Analysis of official deceased organ donation data casts doubt on the credibility of China's organ transplant reform.
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      References

      1. International Society for Heart and Lung Transplantation. ISHLT Statement on Transplant Ethics. Available at:https://ishlt.org/publications-resources/professional-resources/standards-guidelines/health-policy-guidance-documents.

        • China Tribunal
        Judgment.
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        • Robertson MP
        • Hinde RL
        • Lavee J
        Analysis of official deceased organ donation data casts doubt on the credibility of China's organ transplant reform.
        BMC Med Eth. 2019; 20 (Available at: https://bmcmedethics.biomedcentral.com/articles/10.1186/s12910-019-0406-6): 79
      2. Li F, Cai J, Dong N. First cases of COVID-19 in heart transplantation from China [e-pub ahead of print]. J Heart Lung Transplant 2020. Available at: http://doi.org/10.1016/j.healun.2020.03.006. accessed 15 April 2020.

      3. Higgins W, Rogers W, Ballantyne A, Lipworth W. Against the use and publication of research using unethically procured data: the case of Chinese transplant research. J Med Eth 2020, (in press).

      4. The Journal of Heart and Lung Transplantation. COVID-19 and cardiothoracic transplantation. Available at: https://www.jhltonline.org/content/covid-19.

        • Ren Z
        • Hu R
        • Wang Z
        • et al.
        Epidemiological and clinical characteristics of heart transplant recipients during the 2019 coronavirus outbreak in Wuhan, China: A descriptive survey report [e-pub ahead of print].
        J Heart Lung Transplant. 2020; https://doi.org/10.1016/j.healun.2020.03.008
        • Ahn C
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        Global transplantation COVID report March 2020 [e-pub ahead of print].
        Transplantation. 2020; https://doi.org/10.1097/TP.0000000000003258