Author(s)
Casares, MiguelKeywords
AlternativesCaring
Coercion
Consent
Ethics
Ethics Committees
Freedom
Health
Health Care
Health Status
Hospital Ethics Committees
Justice
Motivation
Organ Donation
Risks and Benefits
Transplantation
Kidney Transplantation
Donation / Procurement of Organs and Tissues
Full record
Show full item recordOnline Access
http://hdl.handle.net/10822/1025597https://dx.doi.org/10.3265/Nefrologia.pre2010.Nov.10687
Abstract
Living donor kidney transplantation is considered an established treatment for end-stage renal failure and is accepted in different transplant forums, nationally and internationally, while ensuring the safety of the donation, the information, the motivation and caring, the free consent and the absence profit. Safety: the living donor nephrectomy is not extent of risks so a good assessment of the donor's health status and psychosocial situation must be performed to evaluate if the benefits to donor and recipient outweigh the risks assumed. Information and Consent: to be considered ethically acceptable, the donor must be able to give his free consent to the donation after understanding the information provided, accepting the risks and benefits of organ donation, knowing the treatment alternatives for the recipient and the long-term consequences of his decision The absence of profit: offering or receiving money for an organ or other human tissue violates the principles of justice and equity and it is considered ethically and legally unacceptable Motivation: it is important to make a good psychosocial assessment to identify whether the motivation is altruistic or not and, in other terms, to detect any kind of coercion (ex, in the family). Living donation must not be offered in desperate family situations so it is important to assess family relationships to rule out the absence of freedom in donor's choice.The Role of Health Care Ethics Committees: there exists a normative in our country that regulates living donation and establishes that the hospital ethics committees should participate in the process of living donation in all cases. Their job is to assess the process and develop a report on the donor free consent to donation. The responsible person of the living transplant program should provide the documentation necessary to the committee. An interview with the potential donor can be required in some cases.Date
2016-01-09Identifier
oai:repository.library.georgetown.edu:10822/1025597doi:10.3265/Nefrologia.pre2010.Nov.10687
Nefrología : publicación oficial de la Sociedad Española Nefrologia 2010; 30 Suppl 2: 14-22
http://hdl.handle.net/10822/1025597
http://dx.doi.org/10.3265/Nefrologia.pre2010.Nov.10687
DOI
10.3265/Nefrologia.pre2010.Nov.10687ae974a485f413a2113503eed53cd6c53
10.3265/Nefrologia.pre2010.Nov.10687