Journal ArticleDOI
Should people who donate a kidney to a stranger be permitted to choose their recipients? Views of the United States public.
TLDR
Public attitudes toward kidneys donated by altruistic living strangers support the current policy of several transplant centers that people who wish to donate a kidney to a stranger are not permitted to choose their recipients on the basis of membership in a racial or religious group.Abstract:
Background Several transplant centers have begun to accept kidneys donated by altruistic living strangers. Many of these centers insist that such donations be nondirected, meaning that the donors may not choose their recipients. On the other hand, some authors have argued that anonymous donors should be allowed to select their recipients. This study was designed to explore public attitudes toward this issue. Methods Two telephone surveys of US adults, each including more than 1000 participants, were conducted. The first asked about the general acceptability of allowing altruistic strangers to direct donations, the willingness to donate a kidney to a stranger, and the impact of permitting directed donation on willingness to give. The second survey asked about the acceptability of directed donation to members of specific groups. Results About one quarter of the respondents said they would donate a kidney to a stranger for free, and the vast majority of them would donate even if they could not choose their recipients. Two thirds would not allow anonymous kidney donors to direct their gifts to a member of a specific racial or religious group, but three quarters would support kidney donations directed to children. Conclusions These data support the current policy of several transplant centers that people who wish to donate a kidney to a stranger are not permitted to choose their recipients on the basis of membership in a racial or religious group. On the other hand, theoretical considerations and the results of this study suggest that people who wish to donate a kidney only to an unknown child should be permitted to do so.read more
Citations
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Journal ArticleDOI
Just Health Care.
TL;DR: Biomedical Research Involving Animals is a report of the proceedings of the 1983 conference which discussed a draft of the Guiding Principles for Research using Animals, which it was hoped would provide widely applicable criteria for establishing codes of practice or legislation concerning the use of laboratory animals for scientific purposes.
Journal ArticleDOI
Domino paired kidney donation: a strategy to make best use of live non-directed donation.
Robert A. Montgomery,Sommer E. Gentry,Sommer E. Gentry,William H. Marks,Daniel S. Warren,Janet M. Hiller,Julie A. Houp,Andrea A. Zachary,J. Keith Melancon,Warren R. Maley,Hamid Rabb,Christopher E. Simpkins,Dorry L. Segev +12 more
TL;DR: In this article, the authors present a novel application of paired donation that has the potential to multiply the number of recipients who can benefit from each living non-directed (LND) donation.
Journal ArticleDOI
Twenty-Two Nondirected Kidney Donors: An Update on a Single Center's Experience
TL;DR: The program policies and how they have evolved are reviewed, the evaluation and the motivation of the authors' potential donors are described, the outcome of NDD transplants are summarized, and issues requiring further attention and study are raised.
Journal ArticleDOI
Encouraging psychological outcomes after altruistic donation to a stranger.
Emma Massey,Leonieke W. Kranenburg,Wilij Zuidema,G. Hak,Ruud A.M. Erdman,Medard Hilhorst,Jan N. M. IJzermans,Jan J. V. Busschbach,Willem Weimar +8 more
TL;DR: Living kidney donation to a stranger does not appear to exacerbate psychological complaints, and altruistic donors report considerable satisfaction and personal benefit, which can contribute toward solving the current organ shortage issue.
Journal ArticleDOI
Altruistic living donors: evaluation for nondirected kidney or liver donation.
Martin D. Jendrisak,Barry A. Hong,Surendra Shenoy,Jeffrey A. Lowell,Niraj M. Desai,William C. Chapman,Anitha Vijayan,R.D. Wetzel,M. Smith,Jessica Wagner,S. Brennan,Diane Brockmeier,D. Kappel +12 more
TL;DR: A program was established within the regional procurement organization to permit evaluation of altruistic living donors interested in nondirected kidney or liver segment donation prior to transplant center referral.
References
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Journal ArticleDOI
Comparison of Mortality in All Patients on Dialysis, Patients on Dialysis Awaiting Transplantation, and Recipients of a First Cadaveric Transplant
Robert A. Wolfe,Valarie B. Ashby,Edgar L. Milford,Akinlolu O. Ojo,Robert E. Ettenger,Lawrence Y. Agodoa,Philip J. Held,Friedrich K. Port +7 more
TL;DR: In this paper, the authors conducted a longitudinal study of mortality in 228,552 patients who were receiving long-term dialysis for end-stage renal disease, and 46,164 were placed on a waiting list for transplantation, 23,275 of whom received a first cadaveric transplant between 1991 and 1997.
Journal ArticleDOI
Strategies for making more organs available for transplantation
Bruno Gridelli,Giuseppe Remuzzi +1 more
TL;DR: Organ transplantation has evolved rapidly from the first early successes to the current widespread use of donated organs for the treatment of end-stage kidney, heart, and liver failure, with limited supplies of organs and an increasing demand for them.
Journal ArticleDOI
Just Health Care.
TL;DR: Biomedical Research Involving Animals is a report of the proceedings of the 1983 conference which discussed a draft of the Guiding Principles for Research using Animals, which it was hoped would provide widely applicable criteria for establishing codes of practice or legislation concerning the use of laboratory animals for scientific purposes.
Journal ArticleDOI
Ethical Incentives — Not Payment — For Organ Donation
Francis L. Delmonico,Robert M. Arnold,Nancy Scheper-Hughes,Laura A. Siminoff,Jeffrey P. Kahn,Stuart J. Youngner +5 more
TL;DR: Advances in immunosuppression have eliminated the requirement of a genetic match for organ transplants, and many patients with end-stage organ failure are no longer relying solely on the waiting list and are turning to spouses, friends, or strangers as possible donors.
Journal ArticleDOI
Living unrelated donor kidney transplantation.
TL;DR: Living unrelated kidney donors represent the fastest growing donor source in the United States and provide excellent long-term results, and encouraging spouses to donate could remove nearly 15% of the patients from the UNOS waiting list, effectively increasing the number of available cadaveric organs.
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Patricia L. Adams,David J. Cohen,Gabriel M. Danovitch,Reverend Mark D. Edington,Robert S. Gaston,Cheryl L. Jacobs,Richard S. Luskin,Robert A. Metzger,Thomas Peters,Laura A. Siminoff,Robert M. Veatch,Lynn Rothberg-Wegman,Stephen T. Bartlett,Lori E. Brigham,James F. Burdick,Susan Gunderson,William E. Harmon,Arthur J. Matas,J. Richard Thistlethwaite,Francis L. Delmonico +19 more