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Risk Assessment and Management for Potential Living Kidney Donors: The Role of “Third-Party” Commission
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 beca...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Frontiers Media S.A.
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8968079/ https://www.ncbi.nlm.nih.gov/pubmed/35372186 http://dx.doi.org/10.3389/fpubh.2022.824048 |
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author | Tattoli, Lucia Santovito, Davide Raciti, Ida Marina Scarmozzino, Antonio Di Vella, Giancarlo |
author_facet | Tattoli, Lucia Santovito, Davide Raciti, Ida Marina Scarmozzino, Antonio Di Vella, Giancarlo |
author_sort | Tattoli, Lucia |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-8968079 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-89680792022-04-01 Risk Assessment and Management for Potential Living Kidney Donors: The Role of “Third-Party” Commission Tattoli, Lucia Santovito, Davide Raciti, Ida Marina Scarmozzino, Antonio Di Vella, Giancarlo Front Public Health Public Health 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. Frontiers Media S.A. 2022-03-17 /pmc/articles/PMC8968079/ /pubmed/35372186 http://dx.doi.org/10.3389/fpubh.2022.824048 Text en Copyright © 2022 Tattoli, Santovito, Raciti, Scarmozzino and Di Vella. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Public Health Tattoli, Lucia Santovito, Davide Raciti, Ida Marina Scarmozzino, Antonio Di Vella, Giancarlo Risk Assessment and Management for Potential Living Kidney Donors: The Role of “Third-Party” Commission |
title | Risk Assessment and Management for Potential Living Kidney Donors: The Role of “Third-Party” Commission |
title_full | Risk Assessment and Management for Potential Living Kidney Donors: The Role of “Third-Party” Commission |
title_fullStr | Risk Assessment and Management for Potential Living Kidney Donors: The Role of “Third-Party” Commission |
title_full_unstemmed | Risk Assessment and Management for Potential Living Kidney Donors: The Role of “Third-Party” Commission |
title_short | Risk Assessment and Management for Potential Living Kidney Donors: The Role of “Third-Party” Commission |
title_sort | risk assessment and management for potential living kidney donors: the role of “third-party” commission |
topic | Public Health |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8968079/ https://www.ncbi.nlm.nih.gov/pubmed/35372186 http://dx.doi.org/10.3389/fpubh.2022.824048 |
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