scholarly journals Will you give my kidney back? Organ restitution in living-related kidney transplantation: ethical analyses

2019 ◽  
Vol 46 (2) ◽  
pp. 144-150 ◽  
Author(s):  
Eisuke Nakazawa ◽  
Keiichiro Yamamoto ◽  
Aru Akabayashi ◽  
Margie H Shaw ◽  
Richard A Demme ◽  
...  

In this article, we perform a thought experiment about living donor kidney transplantation. If a living kidney donor becomes in need of renal replacement treatment due to dysfunction of the remaining kidney after donation, can the donor ask the recipient to give back the kidney that had been donated? We call this problem organ restitution and discussed it from the ethical viewpoint. Living organ transplantation is a kind of ‘designated donation’ and subsequently has a contract-like character. First, assuming a case in which original donor (A) wishes the return of the organ which had been transplanted into B, and the original recipient (B) agrees, organ restitution will be permissible based on contract-like agreement. However, careful and detailed consideration is necessary to determine whether this leaves no room to question the authenticity of B’s consent. Second, if B offers to give back the organ to A, then B’s act is a supererogatory act, and is praiseworthy and meritorious. Such an offer is a matter of virtue, not obligation. Third, if A wishes B to return the organ, but B does not wish/allow this to happen, it is likely difficult to justify returning the organ to A by violating B’s right to bodily integrity. But B’s refusal to return the donated organ cannot be deemed praiseworthy, because B forgets the great kindness once received from A. Rather than calling this an obligation, we encourage B to consider such virtuous conduct.

2011 ◽  
Vol 40 (10) ◽  
pp. 458-461
Author(s):  
Fangfang Sun ◽  
Yan Wang ◽  
Wanzhen Xu ◽  
Ye Tian ◽  
Lei Zhang ◽  
...  

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Utku Ozgen ◽  
Murat Ozban ◽  
Onur Birsen ◽  
Sevda Yilmaz ◽  
Belda Dursun ◽  
...  

Abstract Background Kidney transplantation is the most preferred type of renal displacement therapy for end stage renal disease (ESRD) patients. More patients developed ESRD. The most important source is the donations from unrelated spouses. In this study, we aimed to compare the transplantation data obtained from the spouses of the patients with the transplantation data obtained from other relatives. Methods The data including 167 living kidney transplantations performed between January 2006 and December 2019 were retrospectively collected. The patients were divided into two groups; spousal donor group (n: 53) and living-related donor group (n: 114). Results There was no significant difference in delayed graft function in both groups. There were no patients with acute rejection proven by biopsy or considered biochemically in the spousal donor group. With regard to 3-year results in the living-related donor group the patient survival rate was 100%, while it was 98.2% in terms of graft survival. Conclusions In conclusion, similar patient and graft survival rates between spousal donor kidney transplantation and living-related kidney transplantation has made spousal donor kidney transplantation, with possible problems in terms of tissue compatibility, an acceptable alternative to donor supply.


2014 ◽  
Vol 29 (1) ◽  
pp. 209-218 ◽  
Author(s):  
Priya S. Verghese ◽  
Ty B. Dunn ◽  
Srinath Chinnakotla ◽  
Kristin J. Gillingham ◽  
Arthur J. Matas ◽  
...  

2016 ◽  
Vol 21 ◽  
pp. 587-595 ◽  
Author(s):  
Clotilde Fuentes-Orozco ◽  
Salvador González-Mercado ◽  
Joel Mario Sandoval-Sandoval ◽  
Carlos Valdespino-Mejía ◽  
Eduardo González-González ◽  
...  

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