{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T14:46:37Z","timestamp":1785941197051,"version":"3.56.0"},"reference-count":16,"publisher":"Oxford University Press (OUP)","license":[{"start":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T00:00:00Z","timestamp":1785888000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>A shortage in deceased donor kidneys for transplantation has persisted for decades. In their report \u201cRealizing the Promise of Equity in the Organ Transplantation System,\u201d the US National Academies urge the study of \u201csurvival benefit\u201d as a potentially equity-promoting criterion for allocating these life-enhancing and preserving organs. But the report generates a dilemma. Its account of equity is amenable to two interpretations. On one interpretation, using survival benefit to determine priority for transplantation would frequently be inequitable. On the other interpretation, equity would fail to justify the use of survival benefit as an allocation criterion. Indeed, the latter reading would leave survival benefit\u2019s use no more justified by equity considerations than the use of \u201clongevity matching,\u201d a practice that, the report implies, diminishes the chances of transplant for minority candidates. This article puts in doubt whether survival benefit is a tool suited to promote equity in deceased donor kidney allocation.<\/jats:p>","DOI":"10.1093\/jmp\/jhag024","type":"journal-article","created":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T01:20:33Z","timestamp":1782868833000},"source":"Crossref","is-referenced-by-count":0,"title":["Equity and Survival Benefit in Deceased Donor Kidney Allocation: A Dilemma"],"prefix":"10.1093","author":[{"given":"Samuel j","family":"Kerstein","sequence":"first","affiliation":[{"name":"University of Maryland , College Park, Maryland,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,8,5]]},"reference":[{"issue":"5","key":"2026080509492914100_jhag024-B1","doi-asserted-by":"crossref","first-page":"1168","DOI":"10.1111\/ajt.14702","article-title":"An economic assessment of contemporary kidney transplant practice","volume":"18","author":"Axelrod","year":"2018","journal-title":"American Journal of Transplantation"},{"issue":"9","key":"2026080509492914100_jhag024-B2","doi-asserted-by":"crossref","first-page":"e13380","DOI":"10.1111\/ctr.13380","article-title":"Racial disparities in preemptive referral for kidney transplantation in Georgia","volume":"32","author":"Gander","year":"2018","journal-title":"Clinical Transplantation"},{"key":"2026080509492914100_jhag024-B3","volume-title":"Normative Ethics","author":"Kagan","year":"1998"},{"key":"2026080509492914100_jhag024-B4","volume-title":"Groundwork of the Metaphysics of Morals","author":"Kant","year":"2012"},{"key":"2026080509492914100_jhag024-B5","doi-asserted-by":"crossref","DOI":"10.1093\/acprof:oso\/9780199692033.001.0001","volume-title":"How to Treat Persons","author":"Kerstein","year":"2013"},{"issue":"12","key":"2026080509492914100_jhag024-B6","doi-asserted-by":"crossref","first-page":"2775","DOI":"10.1681\/ASN.2018101030","article-title":"The terrible toll of the kidney shortage","volume":"29","author":"McCormick","year":"2018","journal-title":"Journal of the American Society of Nephrology"},{"issue":"4","key":"2026080509492914100_jhag024-B7","doi-asserted-by":"crossref","first-page":"693","DOI":"10.1086\/422400","article-title":"The ethics of killing in war","volume":"114","author":"McMahan","year":"2004","journal-title":"Ethics"},{"key":"2026080509492914100_jhag024-B8","volume-title":"Utilitarianism","author":"Mill","year":"2001"},{"key":"2026080509492914100_jhag024-B9","volume-title":"Realizing the Promise of Equity in the Organ Transplantation System","author":"National Research Council","year":"2022"},{"key":"2026080509492914100_jhag024-B10","volume-title":"Health Equity and Health Disparities Environmental Scan","author":"Office of Disease Prevention and Health Promotion","year":"2022"},{"key":"2026080509492914100_jhag024-B11","author":"Mill","year":"2024"},{"key":"2026080509492914100_jhag024-B12","author":"OPTN, Organ Procurement and Transplantation Network","year":"2026"},{"issue":"4","key":"2026080509492914100_jhag024-B13","doi-asserted-by":"crossref","first-page":"100798","DOI":"10.1016\/j.trre.2023.100798","article-title":"What are the benefits of preemptive versus non-preemptive kidney transplantation? A systematic review and meta-analysis","volume":"37","author":"Rana Magar","year":"2023","journal-title":"Transplant Reviews (Orlando)"},{"issue":"9","key":"2026080509492914100_jhag024-B14","doi-asserted-by":"crossref","first-page":"463","DOI":"10.2307\/2025934","article-title":"Utilitarianism and welfarism","volume":"76","author":"Sen","year":"1979","journal-title":"Journal of Philosophy"},{"issue":"2","key":"2026080509492914100_jhag024-B15","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1093\/phe\/phu042","article-title":"Health equity in public health: Clarifying our commitment","volume":"8","author":"Smith","year":"2015","journal-title":"Public Health Ethics"},{"issue":"5","key":"2026080509492914100_jhag024-B16","doi-asserted-by":"crossref","first-page":"1395","DOI":"10.2307\/796133","article-title":"The trolley problem","volume":"94","author":"Thomson","year":"1985","journal-title":"The Yale Law Journal"}],"container-title":["The Journal of Medicine and Philosophy: A Forum for Bioethics and Philosophy of Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jmp\/advance-article-pdf\/doi\/10.1093\/jmp\/jhag024\/70494471\/jhag024.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jmp\/advance-article-pdf\/doi\/10.1093\/jmp\/jhag024\/70494471\/jhag024.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T13:49:36Z","timestamp":1785937776000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jmp\/advance-article\/doi\/10.1093\/jmp\/jhag024\/8752528"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,5]]},"references-count":16,"URL":"https:\/\/doi.org\/10.1093\/jmp\/jhag024","relation":{},"ISSN":["0360-5310","1744-5019"],"issn-type":[{"value":"0360-5310","type":"print"},{"value":"1744-5019","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,5]]},"article-number":"jhag024"}}