The economics and ethics of kidney transplantation: perspectives in 2006

Kim, S Joseph; Gordon, Elisa J.; Powe, Neil R.

doi:10.1097/01.mnh.0000247493.70129.91

Cited by 7 publications

(6 citation statements)

References 41 publications

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“…It will be necessary to look for more causes of this situation and, above all, for there to be clear political and institutional support for this type of therapy [19]. This is especially now when living kidney donation has significantly better results than cadaveric donation, and therefore it is a clear option for complementing cadaveric kidney donation, and even as a first line treatment choice [20,21,22]. …”

Section: Discussionmentioning

confidence: 99%

Attitude of Personnel in Hospital Cadaveric Organ Transplant-Related Units Faced with Living Kidney Donation in a Hospital with a Living Kidney Donor Transplantation Program

et al. 2008

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Introduction: The attitude of health care personnel is fundamental for the procurement of organs, especially when they are based in transplant-related services. The objective of this study is to assess the attitude of hospital personnel in transplant-related services toward living kidney donation in a hospital with a cadaveric and living solid organ transplant program. Materials and Methods: A random sample was taken and stratified by type of service and job category (n = 330) in transplant-related services (procurement units, transplant units and follow-up units). The attitude toward cadaveric organ donation was evaluated using a validated psychosocial questionnaire. Student’s t test, χ² test, and logistic regression analysis were applied for statistical analysis. Results: The questionnaire completion rate was 94% (n = 309). Most respondents (87%, n = 268) are in favor of related living kidney donation. However, only 17% (n = 53) of respondents are in favor if this donation is unrelated. Of the rest, 4% (n = 12) of respondents would not accept a donated living kidney organ and the remaining 9% (n = 29) are undecided. Only two variables are significantly related to attitude towards living kidney donation: age (p = 0.013) and a willingness to receive a donated living organ on the part of the respondent, if a transplant organ were needed (p < 0.001). Both variables persist as significant independent variables in the logistic regression analysis. There is also a close relationship between attitude toward living kidney donation and attitude toward living liver donation (p < 0.001). Conclusions: The personnel in donation and transplantation units tend to have a favorable attitude towards living kidney donation making them a key element in the current promotion of living kidney donation. Moreover, the youngest workers in these units are those who tend to be more in favor, thus offering a promising future for this type of kidney donation which is becoming more of a necessity given the cadaveric organ deficit.

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Section: Discussionmentioning

confidence: 99%

Attitude of Personnel in Hospital Cadaveric Organ Transplant-Related Units Faced with Living Kidney Donation in a Hospital with a Living Kidney Donor Transplantation Program

et al. 2008

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“…17 Nonetheless, it was indicated that given the rising demand for kidney transplantation within a setting of scarce resources, the economic and ethical dimensions of transplant medicine are of emerging interest to patients, providers, and payers. 18,19 Equally important, but reported not to be clear yet in many contexts, is the question of obtaining organs and the level as well as the appropriateness of incentives to donors. 20 In Ethiopia, the first national kidney transplantation center was opened at Saint Paul's Hospital Millennium Medical College (SPHMMC) in September 2015 in collaboration between the ministry of health and the medical faculty at the University of Michigan.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Providers’ View on the First Kidney Transplantation Center in Ethiopia: Experience From Past to Present

Shimels

Getachew

Tadesse

et al. 2021

Health Services Research and Managerial Epidemiology

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Introduction: Transplantation is the optimal management for patients with end-stage renal disease. In Ethiopia, the first national kidney transplantation center was opened at St. Paul’s Hospital Millennium Medical College in September 2015. The aim of this study was to explore providers’ views and experiences of the past to present at this center. Methods: A qualitative study design was employed from 1st November to 15th December, 2019. To ensure that appropriate informants would provide rich study data, 8 health care providers and top management members were purposefully chosen for in-depth interviews. A maximum variation sampling method was considered to include a representative sample of informants. Interviews were digitally audio-recorded, and transcribed verbatim. Transcribed data was coded and analyzed using Qualitative Data Analysis (QDA) Minor Lite software and Microsoft-Excel. Result: The participants (5 males and 3 females) approached were from different departments of the renal transplant center, and the main hospital. Eight main themes and 18 sub-themes were generated initially from all interviews totaling to 109 index codes. Further evaluation and recoding retained 5 main themes, and 14 sub-themes. The main themes are; challenges experienced during and after launching the center, commitment, sympathy and satisfaction, outcomes of renal transplant, actions to improve the quality of service, and how the transplant center should operate. Providers claim that they discharge their responsibilities through proper commitment and compassion, paying no attention to incentive packages. They also explained that renal transplantation would have all the outcomes related to economic, humanistic and clinical facets. Conclusion and Recommendation: A multitude of challenges were faced during and after the establishment of the first renal transplant center in Ethiopia. Providers discharge their responsibility through a proper compassion for patients. Concerned stakeholders should actively collaborate to improve the quality of renal transplant services in the center.

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“…To a recipient in the waiting list 3. To a designated recipient (Kim et al, 2006) There should be no pressure on the donor in terms of ethics. As mentioned in the literature, 'personal willingness' may not be the only reason in indirect donations and requires detailed investigation.…”

Section: Main Components Of Altruismmentioning

confidence: 99%

“…Given the studies about organ and tissue transplants, we note that organ donations from related or unrelated living donors have become more widespread due to increasing need for organs. (Lennerling & Nyberg, 2004;Kim et al, 2006, Donelly et al, 1999, Mousavi, 2006, Al-Khader, 2005. Unfortunately, these sources have so far been unable to keep up with the demand.…”

Section: Introductionmentioning

confidence: 99%

Concept of the Voluntariness in Kidney Transplantation from the Position of Donors and Recipients

Elçioğlu¹,

Duman²

2011

Global Bioethics - Perspective for Human Survival

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The economics and ethics of kidney transplantation: perspectives in 2006

Cited by 7 publications

References 41 publications

Attitude of Personnel in Hospital Cadaveric Organ Transplant-Related Units Faced with Living Kidney Donation in a Hospital with a Living Kidney Donor Transplantation Program

Attitude of Personnel in Hospital Cadaveric Organ Transplant-Related Units Faced with Living Kidney Donation in a Hospital with a Living Kidney Donor Transplantation Program

Providers’ View on the First Kidney Transplantation Center in Ethiopia: Experience From Past to Present

Concept of the Voluntariness in Kidney Transplantation from the Position of Donors and Recipients

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