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Use of minor donors for living donor liver transplantation and associated ethical issues
BACKGROUND: Living liver donation by minors is regarded as justifiable only if minors possess the capacity to consent to donation and the procedure is in their best interests. This study analyzed the incidence of and reasons for living donor liver transplantation (LDLT) by minor donors in Korea, and...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Korean Society for Transplantation
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9235445/ https://www.ncbi.nlm.nih.gov/pubmed/35769246 http://dx.doi.org/10.4285/kjt.21.0015 |
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author | Hwang, Shin Song, Gi-Won Jung, Dong-Hwan Ha, Tae-Yong Park, Gil-Chun Ahn, Chul-Soo Moon, Deok-Bog Lee, Sung-Gyu |
author_facet | Hwang, Shin Song, Gi-Won Jung, Dong-Hwan Ha, Tae-Yong Park, Gil-Chun Ahn, Chul-Soo Moon, Deok-Bog Lee, Sung-Gyu |
author_sort | Hwang, Shin |
collection | PubMed |
description | BACKGROUND: Living liver donation by minors is regarded as justifiable only if minors possess the capacity to consent to donation and the procedure is in their best interests. This study analyzed the incidence of and reasons for living donor liver transplantation (LDLT) by minor donors in Korea, and discussed ethical issues regarding liver donation by minors. METHODS: The databases of the Korean Network for Organ Sharing (KONOS) and Asan Medical Center (AMC) from 2010 to 2019 were retrospectively reviewed to determine the incidence of LDLT by minor donors. RESULTS: From 2010 to 2019, 590 (4.1%) of 14,243 liver donors in the KONOS database and 276 (7.5%) of 3,401 liver donors in the AMC database were minors. The proportions of minor donors in the KONOS and AMC databases were highest in 2012, at 4.1% and 12.6%, respectively, and lowest in 2019, at 1.1% and 3.0%, respectively. Because most LDLT recipients had relatively low model for end-stage liver disease scores and hepatocellular carcinoma, they were unlikely candidates for deceased-donor liver transplantation and were highly likely to drop out of LDLT if they waited for 1–2 years. The donor-recipient relationship of minor donors in the AMC database was first-degree in 256 (92.8%) and second- or third-degree in 20 (7.2%). CONCLUSIONS: Liver donation by minors is limitedly acceptable only when the minor proves informed, well‐considered, and autonomous consent to the procedure and the procedure is in the minor's best interests. We suggest that minors be allowed to donate only to first-degree family members. |
format | Online Article Text |
id | pubmed-9235445 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | The Korean Society for Transplantation |
record_format | MEDLINE/PubMed |
spelling | pubmed-92354452022-06-28 Use of minor donors for living donor liver transplantation and associated ethical issues Hwang, Shin Song, Gi-Won Jung, Dong-Hwan Ha, Tae-Yong Park, Gil-Chun Ahn, Chul-Soo Moon, Deok-Bog Lee, Sung-Gyu Korean J Transplant Original Article BACKGROUND: Living liver donation by minors is regarded as justifiable only if minors possess the capacity to consent to donation and the procedure is in their best interests. This study analyzed the incidence of and reasons for living donor liver transplantation (LDLT) by minor donors in Korea, and discussed ethical issues regarding liver donation by minors. METHODS: The databases of the Korean Network for Organ Sharing (KONOS) and Asan Medical Center (AMC) from 2010 to 2019 were retrospectively reviewed to determine the incidence of LDLT by minor donors. RESULTS: From 2010 to 2019, 590 (4.1%) of 14,243 liver donors in the KONOS database and 276 (7.5%) of 3,401 liver donors in the AMC database were minors. The proportions of minor donors in the KONOS and AMC databases were highest in 2012, at 4.1% and 12.6%, respectively, and lowest in 2019, at 1.1% and 3.0%, respectively. Because most LDLT recipients had relatively low model for end-stage liver disease scores and hepatocellular carcinoma, they were unlikely candidates for deceased-donor liver transplantation and were highly likely to drop out of LDLT if they waited for 1–2 years. The donor-recipient relationship of minor donors in the AMC database was first-degree in 256 (92.8%) and second- or third-degree in 20 (7.2%). CONCLUSIONS: Liver donation by minors is limitedly acceptable only when the minor proves informed, well‐considered, and autonomous consent to the procedure and the procedure is in the minor's best interests. We suggest that minors be allowed to donate only to first-degree family members. The Korean Society for Transplantation 2021-09-30 2021-09-30 /pmc/articles/PMC9235445/ /pubmed/35769246 http://dx.doi.org/10.4285/kjt.21.0015 Text en Copyright © 2021 The Korean Society for Transplantation https://creativecommons.org/licenses/by-nc/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0 (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Hwang, Shin Song, Gi-Won Jung, Dong-Hwan Ha, Tae-Yong Park, Gil-Chun Ahn, Chul-Soo Moon, Deok-Bog Lee, Sung-Gyu Use of minor donors for living donor liver transplantation and associated ethical issues |
title | Use of minor donors for living donor liver transplantation and associated ethical issues |
title_full | Use of minor donors for living donor liver transplantation and associated ethical issues |
title_fullStr | Use of minor donors for living donor liver transplantation and associated ethical issues |
title_full_unstemmed | Use of minor donors for living donor liver transplantation and associated ethical issues |
title_short | Use of minor donors for living donor liver transplantation and associated ethical issues |
title_sort | use of minor donors for living donor liver transplantation and associated ethical issues |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9235445/ https://www.ncbi.nlm.nih.gov/pubmed/35769246 http://dx.doi.org/10.4285/kjt.21.0015 |
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