Revolutionizing Organ Donation With Blockchain Technology: Prospects and Challenges In Healthcare

Vedant Jayesh Momaya; BM Zeeshan Hameed; Kinju Adhikari; Mayukh Das; Ali Talyshinskii; Nithesh Naik; Bhaskar K Somani; Piotr Chlosta; Bhavan Prasad Rai

doi:10.57159/gadl.jcmm.2.5.23071

Authors

Vedant Jayesh Momaya Department of Instrumentation and Control Engineering, Manipal Institute of Technology, MAHE, Manipal , Karnataka, India 576104
BM Zeeshan Hameed iTRUE (International Training and Research in Uro-oncology and Endourology) Group, Manipal, Karnataka, India 576104; Department of Urology, Father Muller Medical College, Mangalore, Karnataka, India 575002 https://orcid.org/0000-0002-2904-351X
Kinju Adhikari HCG Cancer Centre, Bangalore, Karnataka, India 560027
Mayukh Das Department of Aeronautical and Automobile Engineering, Manipal Institute of Technology, Manipal Academy of Higher Education, Manipal, Karnataka, India 576104
Ali Talyshinskii Department of Urology, Astana Medical University, Astana, Kazakhstan 020000 https://orcid.org/0000-0002-3521-8937
Nithesh Naik Department of Mechanical and Industrial Engineering, Manipal Institute of Technology, Manipal Academy of Higher Education, Manipal, Karnataka, India 576104 https://orcid.org/0000-0003-0356-7697
Bhaskar K Somani Department of Urology, University Hospital Southampton NHS Trust, Southampton, UK SO166YD https://orcid.org/0000-0002-6248-6478
Piotr Chlosta Department of Urology, Jagiellonian University in Krakow, Kraków, Poland 30060 https://orcid.org/0000-0002-5919-4060
Bhavan Prasad Rai Department of Urology, Freeman Hospital, Newcastle upon Tyne, UK NE77DN https://orcid.org/0000-0002-6323-7246

DOI:

https://doi.org/10.57159/gadl.jcmm.2.5.23071

Keywords:

Organ Transplant Waiting List, Blockchain Technology in Healthcare, Illegal Organ Trade, Healthcare Data Management, Smart Contracts in Organ Donation

Abstract

Amidst a critical shortage in organ donations, with over 120,000 individuals on the waiting list compared to a mere 8,000 annual donors, blockchain technology emerges as a beacon of innovation for the organ donation ecosystem. Originally the bedrock of cryptocurrencies like Bitcoin, blockchain has since traversed beyond the financial sector, exhibiting potential for securing medical records, authenticating pharmaceuticals, and mitigating fraudulent practices within healthcare. It presents a decentralized ledger that not only ensures data integrity and immutability but also fosters transparent and efficient donor-recipient matching through smart contracts. Despite the promising applications, the adoption of blockchain in healthcare confronts challenges including interoperability, data security, and regulatory hurdles. The present article encapsulates the transformative impact of blockchain, particularly within organ transplantation, and underscores the necessity for further research to surmount the barriers to its implementation. As blockchain technology continues to evolve, its capacity to reconcile the demand-supply disparity in organ donations is anticipated to save numerous lives, revolutionizing the healthcare landscape.

References

I. A. Daniel, C. Pop, I. Anghel, M. Antal, and T. Cioara, "A Blockchain based solution for Managing Transplant Waiting Lists and Medical Records," in 2020 IEEE 16th International Conference on Intelligent Computer Communication and Processing (ICCP), pp. 505–510, 2020, IEEE.

F. Ambagtsheer, M. Gunnarson, L. van Balen, N. Ivanovski, S. Lundin, I. Byström, and W. Weimar, "Organ recipients who paid for kidney transplantations abroad: a report," The HOTT Project, p. 69, 2014.

"Opportunities for organ donor intervention research: Saving lives by improving the quality and quantity of organs for transplantation," 2018, National Academies Press.

D. A. Nair, "The bitcoin innovation, crypto currencies and the Leviathan," Innovation and Development, 2018, Taylor & Francis.

Y. Xie, J. Zhang, H. Wang, P. Liu, S. Liu, T. Huo, Y.-Y. Duan, Z. Dong, L. Lu, and Z. Ye, "Applications of blockchain in the medical field: Narrative review," Journal of Medical Internet Research, vol. 23, no. 10, e28613, 2021, JMIR Publications Toronto, Canada.

T. McGhin, K.-K. R. Choo, C. Z. Liu, and D. He, "Blockchain in healthcare applications: Research challenges and opportunities," Journal of Network and Computer Applications, vol. 135, pp. 62–75, 2019, Elsevier.

M. Kassab, J. DeFranco, T. Malas, P. Laplante, G. Destefanis, and V. V. G. Neto, "Exploring research in blockchain for healthcare and a roadmap for the future," IEEE Transactions on Emerging Topics in Computing, vol. 9, no. 4, pp. 1835–1852, 2019, IEEE.

S. Krishnan, V. E. Balas, E. G. Julie, H. R. Yesudhas, S. Balaji, and R. Kumar, "Handbook of research on blockchain technology," 2020, Academic Press.

D. K. C. Lee and L. Low, "Inclusive fintech: blockchain, cryptocurrency and ICO," 2018, World Scientific.

P. Howson, "Building trust and equity in marine conservation and fisheries supply chain management with blockchain," Marine Policy, vol. 115, 103873, 2020, Elsevier.

P. R. da Cunha, P. Soja, and M. Themistocleous, "Blockchain for development: a guiding framework," Information Technology for Development, vol. 27, no. 3, pp. 417–438, 2021, Taylor & Francis.

T. O. Adido, "Transplant Tourism: An International and National Law Model to Prohibit Travelling Abroad for Illegal Organ Transplants," 2018, Brill.

C. T. Liverman, J. F. Childress, et al., "Organ donation: Opportunities for action," 2006, National Academies Press.

R. Kukafka, J. S. Ancker, C. Chan, J. Chelico, S. Khan, S. Mortoti, K. Natarajan, K. Presley, and K. Stephens, "Redesigning electronic health record systems to support public health," Journal of Biomedical Informatics, vol. 40, no. 4, pp. 398–409, 2007, Elsevier.

M. Attaran, "Blockchain technology in healthcare: Challenges and opportunities," International Journal of Healthcare Management, vol. 15, no. 1, pp. 70–83, 2022, Taylor & Francis.

J. Mattila, "The blockchain phenomenon," Berkeley Roundtable of the International Economy, vol. 16, 2016.

L. Cai, Q. Li, and X. Liang, "Introduction to blockchain basics," in Advanced Blockchain Technology: Frameworks and Enterprise-Level Practices, pp. 3–43, 2022, Springer.

Y. Xie, J. Zhang, H. Wang, P. Liu, S. Liu, T. Huo, Y.-Y. Duan, Z. Dong, L. Lu, and Z. Ye, "Applications of blockchain in the medical field: Narrative review," Journal of Medical Internet Research, vol. 23, no. 10, e28613, 2021, JMIR Publications Toronto, Canada.

M. Faisal, H. Sadia, T. Ahmed, and N. Javed, "Blockchain Technology for Healthcare Record Management," in Pervasive Healthcare: A Compendium of Critical Factors for Success, pp. 255–286, 2022, Springer.

M. Niranjanamurthy, B. N. Nithya, and S. J. C. C. Jagannatha, "Analysis of Blockchain technology: pros, cons and SWOT," Cluster Computing, vol. 22, pp. 14743–14757, 2019, Springer.

D. Berdik, S. Otoum, N. Schmidt, D. Porter, Y. Jararweh, "A survey on blockchain for information systems management and security," Information Processing & Management, vol. 58, no. 1, 102397, 2021, Elsevier.

W. Wang, D. T. Hoang, P. Hu, Z. Xiong, D. Niyato, P. Wang, Y. Wen, and D. I. Kim, "A survey on consensus mechanisms and mining strategy management in blockchain networks," IEEE Access, vol. 7, pp. 22328–22370, 2019, IEEE.

L. Ismail and H. Materwala, "A review of blockchain architecture and consensus protocols: Use cases, challenges, and solutions," Symmetry, vol. 11, no. 10, 1198, 2019, MDPI.

D. S. Guzick, "An introduction to the US health care industry: balancing care, cost, and access," 2020, JHU Press.

P. B. Ginsburg, "High and rising health care costs: Demystifying US health care spending," Princeton, NJ, 2008.

A. M. Sisko, S. P. Keehan, J. A. Poisal, G. A. Cuckler, S. D. Smith, A. J. Madison, K. E. Rennie, and J. C. Hardesty, "National health expenditure projections, 2018--27: economic and demographic trends drive spending and enrollment growth," Health Affairs, vol. 38, no. 3, pp. 491–501, 2019.

T. Lehtonen, "DRG-based prospective pricing and case-mix accounting—Exploring the mechanisms of successful implementation," Management Accounting Research, vol. 18, no. 3, pp. 367–395, 2007, Elsevier.

R. H. Hylock and X. Zeng, "A blockchain framework for patient-centered health records and exchange (HealthChain): evaluation and proof-of-concept study," Journal of Medical Internet Research, vol. 21, no. 8, e13592, 2019, JMIR Publications Toronto, Canada.

C. S. Kruse, R. Goswamy, Y. J. Raval, and S. Marawi, "Challenges and opportunities of big data in health care: a systematic review," JMIR Medical Informatics, vol. 4, no. 4, e5359, 2016, JMIR Publications Inc., Toronto, Canada.

I. G. Cohen, R. Amarasingham, A. Shah, B. Xie, and B. Lo, "The legal and ethical concerns that arise from using complex predictive analytics in health care," Health Affairs, vol. 33, no. 7, pp. 1139–1147, 2014.

R. L. Villars, C. W. Olofson, and M. Eastwood, "Big data: What it is and why you should care," White paper, IDC, vol. 14, pp. 1–14, 2011.

S. Aggarwal, R. Chaudhary, G. S. Aujla, N. Kumar, K.-K. R. Choo, and A. Y. Zomaya, "Blockchain for smart communities: Applications, challenges and opportunities," Journal of Network and Computer Applications, vol. 144, pp. 13–48, 2019, Elsevier.

W. Gao, W. G. Hatcher, and W. Yu, "A survey of blockchain: Techniques, applications, and challenges," in 2018 27th International Conference on Computer Communication and Networks (ICCCN), pp. 1–11, 2018, IEEE.

J. B. Bernabe, J. L. Canovas, J. L. Hernandez-Ramos, R. Moreno, and A. Skarmeta, "Privacy-preserving solutions for blockchain: Review and challenges," IEEE Access, vol. 7, pp. 164908–164940, 2019, IEEE.

M. Uddin, "Blockchain Medledger: Hyperledger fabric enabled drug traceability system for counterfeit drugs in pharmaceutical industry," International Journal of Pharmaceutics, vol. 597, 120235, 2021, Elsevier.

T. K. Mackey, T.-T. Kuo, B. Gummadi, K. A. Clauson, G. Church, D. Grishin, K. Obbad, R. Barkovich, and M. Palombini, "‘Fit-for-purpose?’--challenges and opportunities for applications of blockchain technology in the future of healthcare," BMC Medicine, vol. 17, no. 1, pp. 1–17, 2019, BioMed Central.

T. K. Dasaklis, T. G. Voutsinas, G. T. Tsoulfas, and F. Casino, "A systematic literature review of blockchain-enabled supply chain traceability implementations," Sustainability, vol. 14, no. 4, 2439, 2022, MDPI.

N. Ahmed, Z. Al Aghbari, and S. Girija, "A systematic survey on multimodal emotion recognition using learning algorithms," Intelligent Systems with Applications, vol. 17, 200171, 2023, Elsevier.

B. S. Balasubramani, "Down to Earth: Knowledge Based Approaches for Heterogeneous Geospatial Data Management," PhD thesis, University of Illinois at Chicago, 2020.

B. Zaabar, O. Cheikhrouhou, F. Jamil, M. Ammi, and M. Abid, "HealthBlock: A secure blockchain-based healthcare data management system," Computer Networks, vol. 200, 108500, 2021, Elsevier.

S. Chenthara, K. Ahmed, H. Wang, F. Whittaker, and Z. Chen, "Healthchain: A novel framework on privacy preservation of electronic health records using blockchain technology," Plos One, vol. 15, no. 12, e0243043, 2020, Public Library of Science San Francisco, CA USA.

G. Leeming, J. Cunningham, and J. Ainsworth, "A ledger of me: personalizing healthcare using blockchain technology," Frontiers in Medicine, vol. 6, 171, 2019, Frontiers Media SA.

Y. Chen, S. Ding, Z. Xu, H. Zheng, and S. Yang, "Blockchain-based medical records secure storage and medical service framework," Journal of Medical Systems, vol. 43, pp. 1–9, 2019, Springer.

M. A. Cyran, "Blockchain as a foundation for sharing healthcare data," Blockchain in Healthcare Today, 2018.

K. N. Griggs, O. Ossipova, C. P. Kohlios, A. N. Baccarini, E. A. Howson, and T. Hayajneh, "Healthcare blockchain system using smart contracts for secure automated remote patient monitoring," Journal of Medical Systems, vol. 42, pp. 1–7, 2018, Springer.

A. Khatoon, "A blockchain-based smart contract system for healthcare management," Electronics, vol. 9, no. 1, 94, 2020, MDPI.

A. Alabdulatif, I. Khalil, and M. S. Rahman, "Security of Blockchain and AI-Empowered Smart Healthcare: Application-Based Analysis," Applied Sciences, vol. 12, no. 21, 11039, 2022, MDPI.

A. F. S. Ibrahim, "New secure solutions for privacy and access control in health information exchange," 2016.

R. K. Marangappanavar and M. Kiran, "Inter-planetary file system enabled blockchain solution for securing healthcare records," in 2020 Third ISEA Conference on Security and Privacy (ISEA-ISAP), pp. 171–178, 2020, IEEE.

S. A. H. Mohsan, A. Razzaq, S. A. K. Ghayyur, H. K. Alkahtani, N. Al-Kahtani, and S. M. Mostafa, "Decentralized Patient-Centric Report and Medical Image Management System Based on Blockchain Technology and the Inter-Planetary File System," International Journal of Environmental Research and Public Health, vol. 19, no. 22, 14641, 2022, MDPI.