Emotionally related living kidney donation: pro and contra.

Thiel, G

doi:10.1093/oxfordjournals.ndt.a027784

Cited by 26 publications

(21 citation statements)

References 2 publications

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“…Some authors have reported that spousal donor transplantation improved family psychodynamics. [20][21][22] There is also a report that such a strong emotional bond may be related to the high survival rate of spousal grafts. 7 In addition, transplantation from spousal donors shortened time on the waiting list for renal transplantation when compared with those from other LUDs.…”

Section: Discussionmentioning

confidence: 99%

Renal Allograft Outcomes From Spousal and Other Living‐Unrelated Donors

Lee

Kim

et al. 2009

Dialysis & Transplantation

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OBJECTIVEThe objective of this study was to compare renal allograft outcomes from spousal donors with those from other living‐unrelated donors (LUD), and to make the best use of spousal donors.METHODSFrom February 1995 to February 2006, 812 renal transplantations were performed at our center, of which 185 were from LUDs. A retrospective analysis was made of all recipients who successfully underwent living‐unrelated renal transplantation.RESULTSA total of 55 out of the 185 recipients received a kidney from their spouses. Compared with other LUDs, spousal donors were older and had poorer human leukocyte antigen (HLA) mismatching. The time from initiation of dialysis to transplantation was shorter in transplantation from spousal donors. The incidence of acute rejection within the first year after transplantation was more frequent in spousal grafts. However 1‐year and 5‐year survival rates for spousal and other living‐unrelated grafts were not significantly different (96.3% and 93.7% for spousal grafts versus 97.7% and 89.3% for other living‐unrelated grafts, p = .925). The survival rate for 5‐year patients was 96.4% and 97.5%, respectively.DISCUSSIONTransplantation from spousal donors has comparable outcomes to those of other LUDs, and shortens time spent on the waiting list. Therefore, spousal donation should be considered as a useful source to overcome an organ shortage.

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Section: Discussionmentioning

confidence: 99%

Renal Allograft Outcomes From Spousal and Other Living‐Unrelated Donors

Lee

Kim

et al. 2009

Dialysis & Transplantation

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“…Emotionally related donors are considered acceptable sources for kidney transplantation in many centers, but emotionally related living kidney donation is one of the current clinical controversies [32], and it might be expected that emotionally related living kidney donation may be more common in the future. The number of patients on the waiting list for cadaveric transplantation will also increase in the future, and this increment will force the spreading of emotionally related living kidney donation.…”

Section: Discussionmentioning

confidence: 99%

Nonrelated Living-Donor Kidney Transplantation: Medical and Ethical Aspects

Çolakoğlu

Yenicesu²,

Tekin

et al. 1998

Nephron

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Several patients with end-stage renal disease went to Bombay for renal transplantation from nonrelated living donors and then returned to Turkey for posttransplantation follow-up. The aims of this study are to evaluate the long-term results of renal transplantation from nonrelated living donors in Turkish patients with end-stage renal disease and to discuss the ethical and social aspects of nonrelated kidney donation. One hundred and twenty-seven patients (89 males, 38 females; mean age 38.1, range 17–63 years) were investigated retrospectively. None of the patients went to Bombay on our advice. All transplantations were performed between 1991 and 1995. The mean follow-up period after transplantation was 34.2 (range 1–68) months. Graft survival rates were 85, 83, and 57% after 3 months and 1 and 5 years, respectively. Patient survival rates were 94, 93, and 92% after 3 months and 1 and 5 years, respectively. Seven patients died within the first 3 months after the transplantation. Surgical problems, infections, acute rejection, ciclosporin nephrotoxicity, and hepatic problems were common complications. We conclude that medical and surgical complications occur frequently in paid kidney transplantation, but most of these complications can be prevented by adequate preoperative management, and precautionary measures should be taken to prevent commercialization of renal transplantation before the spread of emotionally related living kidney donation.

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“…Cadaver organ transplantation is in its infancy in the developing world, and, legalizing paid organ donation will kill the cadaver program without any increase in the number of transplants [15,16].…”

Section: The Issue Of Altruism and Autonomymentioning

confidence: 99%

Ethics of paid organ donation

Phadke

Anandh

2002

Pediatric Nephrology

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As the waiting list of patients requiring organ transplantation grows, there is a subtle but noticeable shift in society towards accepting organs as a commodity which can be paid for. Although nowhere is the organ trade legal, the commerce of organs goes on in different parts of the world, especially in developing countries such as India. This is largely due to societal and governmental failure to implement the existing "transplant laws". It is high time the medical profession ceased being an accomplice to this unscrupulous trade, which exploits the poor, deters altruism retarding the living-related and cadaver transplant programs, commercializes the human body and jeopardizes human dignity.

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Emotionally related living kidney donation: pro and contra.

Cited by 26 publications

References 2 publications

Renal Allograft Outcomes From Spousal and Other Living‐Unrelated Donors

Renal Allograft Outcomes From Spousal and Other Living‐Unrelated Donors

Nonrelated Living-Donor Kidney Transplantation: Medical and Ethical Aspects

Ethics of paid organ donation

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