Kidneys on demand

Griffin, Anne

doi:10.1136/bmj.39141.493148.94

Cited by 59 publications

(18 citation statements)

References 10 publications

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“…Organ donation has to be a legal gift (28). Pragmatically, they cannot be completely eliminated, even among LRDs (7,26,36,37). “ Exceptional ” LURDs ought to be permitted only in large public hospitals (7).…”

Section: Burden Of Diseasementioning

confidence: 99%

Chronic Kidney Disease, Transplantation Practices and Transplantation Law in Pakistan: Opportunity for a Global Meditation

Akhtar¹

2009

Artificial Organs

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The majority of countries have enacted edicts to regulate organ transplantation due to mounting recognition of its intricacies and increasing level of global disquiet. Frail national economy and status of health care infrastructure restricts access of the local population to both dialysis and transplantation in Pakistan. There is a surge in kidney transplantation activities, however. I have reported the enormity of organ crime in Pakistan. The number of commercial renal transplants range from 3000 to 4500. Foreign nationals share the marketplace. There are current attempts from the government to stop organ trade by strictly enforcing a recently sanctioned law on organ transplantation. Scarcity of comprehensive reliable data has hampered plausible assessments and indispensable modifications to facilitate designs for the future health care. Alternatives to organ transplantation will augment the choice of treatment modalities for a proliferating end-stage renal disease (ESRD) population. The whole array of existing therapeutic modalities for ESRD has to be utilized. Promoting a fresh culture of organ donation by strengthening of the family institution may be another objective.

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Section: Burden Of Diseasementioning

confidence: 99%

Chronic Kidney Disease, Transplantation Practices and Transplantation Law in Pakistan: Opportunity for a Global Meditation

Akhtar¹

2009

Artificial Organs

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“…Although paid donation is practiced in other countries, Iran is the only country in the world that has implemented a regulated paid unrelated living kidney donation program, generally called the Iranian model . This model has gained worldwide attention because it is a highly controversial solution to the shortage of transplantable kidneys .…”

Section: Introductionmentioning

confidence: 99%

Comparison of Health Status and Quality of Life of Related Versus Paid Unrelated Living Kidney Donors

Fallahzadeh

Jafari

Roozbeh

et al. 2013

American Journal of Transplantation

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The aim of this cross-sectional study was to assess the health status and quality of life (QOL) of paid unrelated versus related living kidney donors postdonation at Shiraz Transplant Center in Iran. We invited all donors (n ¼ 580, 347 paid unrelated, 233 related) who underwent donor nephrectomy at our center from 2004 to 2010 to participate in a health survey and physical examination. Of 580 donors, 144 consented to participate; participation of paid unrelated donors was significantly lower than related (52/347 vs. 92/233; p < 0.001). Participants underwent a complete physical examination, QOL assessment (using a 36-item short form health survey [SF-36] questionnaire) and laboratory work-up. The paid unrelated donors compared with related donors were younger (34.2 AE 7.2 vs. 40.7 AE 9.7 years, p < 0.001), had shorter time since donation (2.9 AE 1.6 vs. 3.8 AE 2 years, p ¼ 0.004), had higher estimated GFR (72.6 AE 22 vs. 63.8 AE 15.3 mL/min/ 1.73 m 2 , p¼ 0.006) and had a higher percentage of patients with microalbuminuria (35% vs. 0%, p < 0.001). Additionally, general health and social functioning scores among paid unrelated donors were significantly lower (p < 0.001 and p ¼ 0.02, respectively) than related donors. Other SF-36 scores, although lower in paid unrelated donors, did not reach statistical significance. Iranian paid unrelated donors have lower QOL and higher incidence of microalbuminuria compared with related donors.

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“…304 In fact, Iran's kidney program has produced a surplus of willing kidney providers. 305 Although having a surplus of willing donors may appear to be a good situation, the number of Iranians willing to part with their kidneys gives opponents of organ sales reason to question the Iranian system.…”

Section: B Iranian Kidney Systemmentioning

confidence: 99%

A Market for Human Organs: An Ethical Solution to the Organ Shortage

Crepelle¹

2016

IHLR

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Kidneys on demand

Abstract: Did Iran eliminate its waiting list for kidney transplants? And if so, where are the kidneys coming from? Anne Griffin investigates

Cited by 59 publications

References 10 publications

Chronic Kidney Disease, Transplantation Practices and Transplantation Law in Pakistan: Opportunity for a Global Meditation

Chronic Kidney Disease, Transplantation Practices and Transplantation Law in Pakistan: Opportunity for a Global Meditation

Comparison of Health Status and Quality of Life of Related Versus Paid Unrelated Living Kidney Donors

A Market for Human Organs: An Ethical Solution to the Organ Shortage

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