Gender Imbalance in Living Kidney Donation in Switzerland

Thiel, G; Nolte, Christa; Tsinalis, Dimitrios

doi:10.1016/j.transproceed.2004.12.279

Cited by 41 publications

(35 citation statements)

References 5 publications

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“…In Switzerland, during the period 1993-2003, with regard to 653 registered live kidney donors, 65% of the donors were women and 64% of the recipients were men. Again, more women (84%) donated to their partners than did men to their partners (24%) (Thiel et al 2005). These are just two examples.…”

Section: Live Kidney and Liver Donation Ld And Gender Aspectsmentioning

confidence: 98%

“…[2] There are probably both medical and socio-cultural reasons why women and men, as groups, engage in LKD to different extents and in different senses. In cases where the genderimbalance can only partly be explained by medical reasons, it has been suggested that it could also partly be explained by traditional male-female roles, where women feel obliged to care for the sick family members (Thiel et al 2005). In line with this reasoning, care-work has been described as a labour of love, which women still experience a stronger pressure to engage in than do men (Lewis and Giullardi 2005).…”

Section: Live Kidney and Liver Donation Ld And Gender Aspectsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…In cases of LKD, previous studies have shown that female partners donate significantly more often than male partners. Mothers also donate significantly more often than fathers (Schicktanz et al 2006, Thiel et al 2005, Bloembergen et al 1996.This article argues for the benefit of the concept of just love as an analytic tool in the analysis of emotionally-related LD where the potential donor(s) and the recipient are engaged in a love relation (hereafter referred to as loving LD). The concept of just love is helpful in the analysis of loving LD even if no gender-imbalance prevails.…”

mentioning

confidence: 99%

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Just love in live organ donation

Zeiler

2008

Med Health Care and Philos

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Emotionally-related live organ donation is different from almost all other medical treatments in that a family member or, in some countries, a friend contributes with an organ or parts of an organ to the recipient. Furthermore, there is a long-acknowledged but not well-understood gender-imbalance in emotionally-related live kidney donation.This article argues for the benefit of the concept of just love as an analytic tool in the analysis of emotionally-related live organ donation where the potential donor(s) and the recipient are engaged in a love relation. The concept of just love is helpful in the analysis of these live organ donations even if no statistical gender-imbalance prevails. It is particularly helpful, however, in the analysis of the gender-imbalance in live kidney donations if these donations are seen as a specific kind of care-work, if care-work is experienced as a labour one should perform out of love and if women still experience stronger pressures to engage in care-work than do men.The aim of the article is to present arguments for the need of just love as an analytic tool in the analysis of emotionally-related live organ donation where the potential donor(s) and the recipient are engaged in a love relation. The aim is also to elaborate two criteria that need to be met in order for love to qualify as just and to highlight certain clinical implications.Keywords: Live organ donation, ethics, love, the just, choice, gender 2 INTRODUCTION Emotionally-related live organ donation (hereafter referred to as LD) is different from almost all other medical treatments in that a family member or, in for example Sweden, a friend contributes with an organ or parts of an organ to the recipient. Furthermore, in emotionally-related live kidney donation (hereafter referred to as LKD) there is a long-acknowledged but not well-understood gender-imbalance. In cases of LKD, previous studies have shown that female partners donate significantly more often than male partners. Mothers also donate significantly more often than fathers (Schicktanz et al 2006, Thiel et al 2005, Bloembergen et al 1996.This article argues for the benefit of the concept of just love as an analytic tool in the analysis of emotionally-related LD where the potential donor(s) and the recipient are engaged in a love relation (hereafter referred to as loving LD). The concept of just love is helpful in the analysis of loving LD even if no gender-imbalance prevails. It is particularly helpful, however, in the analysis of the gender-imbalance in LKD if live donation can be seen as a specific kind of care-work, if care-work is experienced as a labour one should perform out of love, if women still experience stronger pressures to engage in care-work then do men and if the gender-imbalance cannot be fully explained by medical reasons.The aim of the article is i) to present arguments for the benefit of just love as an analytic tool in loving LD, ii) to elaborate two criteria that need to be met in order for love to qualify as just and iii) to highli...

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Section: Live Kidney and Liver Donation Ld And Gender Aspectsmentioning

confidence: 98%

Section: Live Kidney and Liver Donation Ld And Gender Aspectsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

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Just love in live organ donation

Zeiler

2008

Med Health Care and Philos

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“…Two of 3 kidneys were donated by wives in this study. In Switzerland, most living organ recipients are male [11]. In general, men are breadwinners in the family.…”

Section: A Gender Balancementioning

confidence: 99%

Recipients’ Perceptions Regarding Transplantation of Surgically Restored Cancerous Kidneys in Japan

Takagi¹

2014

IJSSH

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Abstract-Patients with renal failure wait an average of 14 years to receive a transplant after registration on the waiting list in Japan. Many patients must therefore depend on a living donor. Between January 2012 and March 2013, a questionnaire was sent to three hospitals where transplants had been performed. We obtained responses from 152 recipients receiving kidneys from their spouses concerning their physical and psychological condition after transplantation and their perceptions of living donor kidney transplantation. Afterwards, we asked recipients' opinions about transplantation of surgically restored cancerous kidneys as a new source for donor. In response to questions regarding the physical condition of the recipient after kidney transplantation, 78.3% respondents reported that recipients felt good or very good, whereas 4.6% recipients felt less than normal or bad. In response to the questions regarding the psychological condition of the recipient after kidney transplantation, 69.1% recipients reported feeling good or very good, and 3.9% recipients felt less than normal or bad. One hundred thirty-one recipients (86.2%) recognized living donor transplantation as ongoing medical care, and 11 recipients (7.2%) perceived it only as temporary medical care. No recipient thought the medical care which they received to be a problem. In response to questions regarding restored kidney transplantation, 124 recipients (81.6%) recognized it as medical care and 15 recipients (9.9%) perceived it as only temporary medical care. Five recipients (3.3%) thought it had a problem as medical care because of the risk in cancer recurrence. The fact that more than 80% recipients accepted restored kidney transplantation as medical care compares favorably with the results of the survey regarding living donor transplantation (86.2%). Nevertheless, this practice is currently not allowed in Japan. In response to the question, "If restored kidney transplantation had been possible when you underwent the procedure, what would you have chosen, either living donor transplantation or restored kidney transplantation?" a total of 51 recipients (33.6%) wanted to choose restored kidney transplantation, despite the possible 5-year recurrence rate of cancer of 6%.

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Gender-specific differences associated with living donor liver transplantation: A review study

et al. 2010

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Living donor liver transplantation (LDLT) has developed into an important therapeutic option for liver diseases. For living donor kidney transplantation (LDKT), gender-specific differences have been observed among both donors (two-thirds being women and one-third being men) and recipients (two-thirds being men and one-third being women). The aim of this study was to determine whether there is a gender disparity for LDLT. We contacted 89 national and international transplantation registries, single transplant centers, and coordinators. In addition, a sample of 274 articles dealing with LDLT and its outcomes was reviewed and compared with the registry data. The data included the gender of the donors and recipients, the country of transplantation, and the donor-recipient relationship. The investigation showed that overall there were slightly more men among the donors (53% male and 47% female). As for the recipients, 59% of the organs were distributed to males, and 41% were distributed to females. Differences in the gender distribution were observed with respect to individual countries. Worldwide, 80% of the donors were blood-related, 11% were not blood-related, and 9% were spouses. The data acquired from the publications were similar to the registry data. Our research has shown that there are hardly any registry data published, a lot of countries do not have national registries, or the access to these data is difficult. Even widely ranging published studies often do not give information on the gender distribution or the donor-recipient relationship. Further investigations are needed to understand the possible medical, psychosocial, or cultural reasons for gender distribution in LDLT and the differences in comparison with LDKT. Liver Transpl 16:375-386,

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Gender Imbalance in Living Kidney Donation in Switzerland

Cited by 41 publications

References 5 publications

Just love in live organ donation

Just love in live organ donation

Recipients’ Perceptions Regarding Transplantation of Surgically Restored Cancerous Kidneys in Japan

Gender-specific differences associated with living donor liver transplantation: A review study

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