Living Kidney Donation: Practical Considerations on Setting Up a Program

Bellini, Maria Irene; Cantisani, Vito; Lauro, Augusto; D’Andrea, Vito

doi:10.3390/transplantology2010008

Cited by 3 publications

(2 citation statements)

References 38 publications

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“…Nevertheless, living transplant often is the only treatment option to improve or save the life of patients with an end-stage kidney failure ( 18 ). It is well known that living-donor organ transplants are associated with fewer complications than cadaver transplants, a better outcome, and a longer survival time of the donor organ ( 7 , 17 , 18 ).…”

Section: Discussionmentioning

confidence: 99%

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Risk Assessment and Management for Potential Living Kidney Donors: The Role of “Third-Party” Commission

Tattoli

Santovito

Raciti

et al. 2022

Front. Public Health

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Living kidney donation is the most common type of living-donor transplant. Italian guidelines allow the living donations from emotionally related donors only after clear and voluntary consent expressed by both the donor and the recipient involved. Living donation raises ethical and legal issues because donors voluntarily undergo a surgical procedure to remove a healthy kidney in order to help another person. According to the Italian standards, the assessment of living donor-recipient pair has to be conducted by a medical “third party”, completely independent from both the patients involved and the medical team treating the recipient. Starting from the Hospital “Città della Salute e della Scienza” of Turin (Italy) experience, including 116 living kidney donations, the Authors divided the evaluation process performed by the “Third-Party” Commission into four stages, with a particular attention to the potential donor. Living donation procedures should reflect fiduciary duties that healthcare providers have toward their patients, originating from the relationship of trust between physician and patient. In addition to that, the social implications are enormous if one considers the worldwide campaigns to promote public awareness about organ donation and transplantation, and to encourage people to register their organ donation decisions. The systematic process proposed here can be a tool that proactively reduces and controls the risks of coercion, organ trafficking, vitiated consent, insufficient weighting of donative choice, that could arise especially in donors involved in living kidney donation.

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Section: Discussionmentioning

confidence: 99%

“…The challenge is to address the discrepancy between supply and demand in organ transplantation through the expansion of the donor pool ( 6 – 8 ). The main strategies include the use of living donors, the promotion of donation after brain death but also of donation after circulatory death ( 1 , 3 , 7 , 9 , 10 ).…”

Section: Introductionmentioning

confidence: 99%

Risk Assessment and Management for Potential Living Kidney Donors: The Role of “Third-Party” Commission

Tattoli

Santovito

Raciti

et al. 2022

Front. Public Health

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Argumentación ética en la donación de riñón de donante vivo y sano

Rubio

2023

Rev. latinoam. bioet

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El gesto altruista del donante vivo y sano de riñón, relacionado genética o sentimentalmente, se basa en la autodeterminación, voluntad, y generosidad. La argumentación ética alrededor de la donación de riñón de donante vivo y sano se orienta con las éticas principialista y personalista, la dignidad humana, la corporalidad, la divisibilidad del cuerpo, el mal menor y el mal mayor. Hace parte del derecho a la información amplia y suficiente que recibe el donante sobre los riesgos y posibles complicaciones físicas y morales del procedimiento, por medio del comité de bioética y el grupo de trasplantes. Con base a la argumentación ética planteada se procedió a contestar la pregunta de esta investigación: ¿se debe dejar que una persona viva y sana sea sometida a una cirugía que le dejará mononéfrico de por vida, solo por el deseo de ayudar a otro, a pesar de que existen programas activos con donante cadavérico? El objetivo de este artículo es plantear una argumentación ética sobre la donación de riñón de donante vivo y sano que contribuya a una adecuada orientación de su decisión.

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