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Global Kidney Exchange: opportunity or exploitation? An ELPAT/ESOT appraisal
This paper addresses ethical, legal, and psychosocial aspects of Global Kidney Exchange (GKE). Concerns have been raised that GKE violates the nonpayment principle, exploits donors in low‐ and middle‐income countries, and detracts from the aim of self‐sufficiency. We review the arguments for and aga...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7540591/ https://www.ncbi.nlm.nih.gov/pubmed/32349176 http://dx.doi.org/10.1111/tri.13630 |
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author | Ambagtsheer, Frederike Haase‐Kromwijk, Bernadette Dor, Frank J. M. F. Moorlock, Greg Citterio, Franco Berney, Thierry Massey, Emma K. |
author_facet | Ambagtsheer, Frederike Haase‐Kromwijk, Bernadette Dor, Frank J. M. F. Moorlock, Greg Citterio, Franco Berney, Thierry Massey, Emma K. |
author_sort | Ambagtsheer, Frederike |
collection | PubMed |
description | This paper addresses ethical, legal, and psychosocial aspects of Global Kidney Exchange (GKE). Concerns have been raised that GKE violates the nonpayment principle, exploits donors in low‐ and middle‐income countries, and detracts from the aim of self‐sufficiency. We review the arguments for and against GKE. We argue that while some concerns about GKE are justified based on the available evidence, others are speculative and do not apply exclusively to GKE but to living donation more generally. We posit that concerns can be mitigated by implementing safeguards, by developing minimum quality criteria and by establishing an international committee that independently monitors and evaluates GKE’s procedures and outcomes. Several questions remain however that warrant further clarification. What are the experiences and views of recipients and donors participating in GKE? Who manages the escrow funds that have been put in place for donor and recipients? What procedures and safeguards have been put in place to prevent corruption of these funds? What are the inclusion criteria for participating GKE centers? GKE provides opportunity to promote access to donation and transplantation but can only be conducted with the appropriate safeguards. Patients’ and donors’ voices are missing in this debate. |
format | Online Article Text |
id | pubmed-7540591 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-75405912020-10-15 Global Kidney Exchange: opportunity or exploitation? An ELPAT/ESOT appraisal Ambagtsheer, Frederike Haase‐Kromwijk, Bernadette Dor, Frank J. M. F. Moorlock, Greg Citterio, Franco Berney, Thierry Massey, Emma K. Transpl Int Special Articles This paper addresses ethical, legal, and psychosocial aspects of Global Kidney Exchange (GKE). Concerns have been raised that GKE violates the nonpayment principle, exploits donors in low‐ and middle‐income countries, and detracts from the aim of self‐sufficiency. We review the arguments for and against GKE. We argue that while some concerns about GKE are justified based on the available evidence, others are speculative and do not apply exclusively to GKE but to living donation more generally. We posit that concerns can be mitigated by implementing safeguards, by developing minimum quality criteria and by establishing an international committee that independently monitors and evaluates GKE’s procedures and outcomes. Several questions remain however that warrant further clarification. What are the experiences and views of recipients and donors participating in GKE? Who manages the escrow funds that have been put in place for donor and recipients? What procedures and safeguards have been put in place to prevent corruption of these funds? What are the inclusion criteria for participating GKE centers? GKE provides opportunity to promote access to donation and transplantation but can only be conducted with the appropriate safeguards. Patients’ and donors’ voices are missing in this debate. John Wiley and Sons Inc. 2020-05-20 2020-09 /pmc/articles/PMC7540591/ /pubmed/32349176 http://dx.doi.org/10.1111/tri.13630 Text en © 2020 The Authors. Transplant International published by John Wiley & Sons Ltd on behalf of Steunstichting ESOT This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
spellingShingle | Special Articles Ambagtsheer, Frederike Haase‐Kromwijk, Bernadette Dor, Frank J. M. F. Moorlock, Greg Citterio, Franco Berney, Thierry Massey, Emma K. Global Kidney Exchange: opportunity or exploitation? An ELPAT/ESOT appraisal |
title | Global Kidney Exchange: opportunity or exploitation? An ELPAT/ESOT appraisal |
title_full | Global Kidney Exchange: opportunity or exploitation? An ELPAT/ESOT appraisal |
title_fullStr | Global Kidney Exchange: opportunity or exploitation? An ELPAT/ESOT appraisal |
title_full_unstemmed | Global Kidney Exchange: opportunity or exploitation? An ELPAT/ESOT appraisal |
title_short | Global Kidney Exchange: opportunity or exploitation? An ELPAT/ESOT appraisal |
title_sort | global kidney exchange: opportunity or exploitation? an elpat/esot appraisal |
topic | Special Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7540591/ https://www.ncbi.nlm.nih.gov/pubmed/32349176 http://dx.doi.org/10.1111/tri.13630 |
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