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.”
Kesselheim JC, Lehmann LE, Styron NF, Joffe S. The Ethics of Hematopoietic Stem Cell Donation by Minors—Reply. Arch Pediatr Adolesc Med. 2009;163(11):1065–1066. doi:10.1001/archpediatrics.2009.195
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