Artificial liver support: The pipe dream of today should be the reality of the near future

Fouad, Fetnat M.; Mamer, Orval; Shahidi, Fereidoon

doi:10.1016/s0306-9877(96)90454-5

Cited by 7 publications

(1 citation statement)

References 35 publications

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“…[45][46][47] Some newer technologies, such as dialysis, offer short-term bridges to transplant for a limited number of patients now awaiting transplant. 48 In the meantime, innovative surgical techniques are available to make transplantation from living donors not only possible, but also the most likely source of organs for many patients lingering on waiting lists. 7 Living organ donation has raised considerable controversy.…”

Section: Ethical Issuesmentioning

confidence: 99%

Psychosocial Assessment of Living Organ Donors: Clinical and Ethical Considerations

et al. 2001

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This article outlines psychosocial and ethical issues to be considered when evaluating potential living organ donors. Six types of living donors are described: genetically related, emotionally related, "Good Samaritan" (both directed and nondirected), vendors, and organ exchangers. The primary domains to be assessed in the psychosocial evaluation are informed consent, motivation for donating and the decision-making process, adequacy of support (financial and social), behavioral and psychological health, and the donor-recipient relationship. Obstacles to the evaluation process include impression management, overt deception, minimization of behavioral risk factors, and cultural and language differences between the donor and the evaluator. Ethical concerns, such as the right to donate, donor autonomy, freedom from coercion, nonmaleficence and beneficence in donor selection, conflicts of interest, "reasonable" risks to donors, and recipient decision making are also explored. To fully evaluate living organ donation, studying psychosocial as well as medical outcomes is crucial.

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