Financial Considerations in Living Organ Donation

2003 ◽  
Vol 13 (2) ◽  
pp. 130-136 ◽  
Author(s):  
Cheryl Jacobs ◽  
Charlie Thomas
Keyword(s):  
Living Donor ◽  
Healthcare Professionals ◽  
Evaluation Process ◽  
Living Donors ◽  
Organ Donors ◽  
Clinical Social Workers ◽  
Financial Situation ◽  
Living Donor Transplantation ◽  
Financial Consequences ◽  
Out Of Pocket Expenses

The shortage of cadaveric organs and increased success of living donor transplantation support the use of living organ donors. Clinical social workers have the opportunity to explore a variety of donor-specific issues when performing psychosocial evaluations of living donors, including motivation, psychological stability, and personal and family consequences of donation, as well as the direct and indirect financial consequences faced by living donors. Although most donor-related medical costs are covered, other associated expenses are not reimbursable and may put donors at risk for financial hardship. Out-of-pocket expenses also serve as a disincentive to donate for some volunteers. During the evaluation process, healthcare professionals should openly discuss how surgery, recovery, and any potential complications might impact prospective donors' financial situation. Donors can then decide whether they are able to realistically handle the costs of donation. We present the financial dilemmas experienced by many living donors and highlight efforts that have been made to deal with them.

scholarly journals Evaluation of the Medically Complex Living Kidney Donor

2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Yasar Caliskan ◽  
Alaattin Yildiz
Keyword(s):  
Living Donor ◽  
Viral Infections ◽  
Evaluation Process ◽  
Living Donors ◽  
Stone Disease ◽  
Organ Shortage ◽  
Kidney Donor ◽  
Living Kidney Donor ◽  
Living Donor Transplantation ◽  
History Of

Due to organ shortage and difficulties for availability of cadaveric donors, living donor transplantation is an important choice for having allograft. Live donor surgery is elective and easier to organize prior to starting dialysis thereby permitting preemptive transplantation as compared to cadaveric transplantation. Because of superior results with living kidney transplantation, efforts including the usage of “Medically complex living donors” are made to increase the availability of organs for donation. The term “Complex living donor” is probably preferred for all suboptimal donors where decision-making is a problem due to lack of sound medical data or consensus guidelines. Donors with advanced age, obesity, asymptomatic microhematuria, proteinuria, hypertension, renal stone disease, history of malignancy and with chronic viral infections consist of this complex living donors. This medical complex living donors requires careful evaluation for future renal risk. In this review we would like to present the major issues in the evaluation process of medically complex living kidney donor.

Prisoners as Living Donors: A Vulnerabilities Analysis

2017 ◽  
Vol 27 (1) ◽  
pp. 93-108 ◽  
Author(s):  
LAINIE FRIEDMAN ROSS ◽  
J. RICHARD THISTLETHWAITE
Keyword(s):  
Living Donor ◽  
The United States ◽  
Living Donors ◽  
Research Subject ◽  
Federal Regulations ◽  
Human Subject Research ◽  
National Guidelines ◽  
Human Research ◽  
Human Research Subject ◽  
Living Donor Transplantation

Abstract:Although national guidelines exist for evaluating the eligibility of potential living donors and for procuring their informed consent, no special protections or considerations exist for potential living donors who are incarcerated. Human research subject protections in the United States are codified in the Federal Regulations, 45 CFR 46, and special protections are given to prisoners. Living donor transplantation has parallels with human subject research in that both activities are performed with the primary goal of benefiting third parties. In this article, we describe what special considerations should be provided to prisoners as potential living donors using a vulnerabilities approach adapted from the human research subject protection literature.

The Living Organ Donor as Patient

2021 ◽  
Author(s):  
Lainie Friedman Ross ◽  
J. Richard Thistlethwaite, Jr.
Keyword(s):  
Organ Donation ◽  
Organ Transplantation ◽  
Living Donor ◽  
Organ Procurement ◽  
Well Being ◽  
Living Donors ◽  
Solid Organ ◽  
Organ Donors ◽  
Ethics Framework ◽  
Special Obligations

This is a book about living solid organ donors as patients in their own right. This book is premised on the supposition that the field of living donor organ transplantation is ethical, even if some specific applications are not, eg, pre-mortem organ procurement of an imminently dying patient. When Joseph Murray performed the first successful living kidney donor transplant in 1954, he thought this would be a temporary stopgap. Today, however, the goal of adequate organ supply without living donors remains elusive. If anything, the supply:demand ratio is worse. In this book, a five-principle living donor ethics framework is developed and used to examine the ethical issues raised by living donor selection demographics, innovative attempts to increase living organ donation, and living donor decision-making and risk thresholds. This ethics framework uses the three principles of the Belmont Report modified to organ transplantation (respect for persons, beneficence, and justice) supplemented by the principles of vulnerability and of special relationships creating special obligations. The approach requires that the transplant community fully embraces living organ donors (and prospective living organ donors) as patients to whom special obligations are owed. Only when living organ donors are regarded as patients in their own right and have a living donor advocate team dedicated to their well-being can the moral boundaries of living solid organ donation be determined and realized. This book provides theoretical arguments and practice guidelines, complemented by case studies, to ensure that living donors are given the full respect and care they deserve.

Minors as Living Organ Donors

2021 ◽  
pp. 108-123
Author(s):  
Lainie Friedman ◽  
J. Richard Thistlethwaite, Jr
Keyword(s):  
Kidney Transplantation ◽  
Kidney Transplant ◽  
Living Donor ◽  
Living Donors ◽  
Identical Twin ◽  
Living Donation ◽  
Solid Organ ◽  
Organ Donors ◽  
The World ◽  
A Minor

In 1957, three years after the first successful kidney transplant between identical twin brothers, the Supreme Judicial Court in Massachusetts authorized kidney transplantation between three sets of identical twin minors and approved another two dozen living donor transplants involving minor donors over the next twenty years. Today, minors rarely serve as living solid organ donors, and donation by minors is prohibited in much of the world. In this chapter arguments are made to restrict children from serving as living donors except as a last resort. It is also argued that if one embraces the concept of the living donor as patient, then one would not make an exception for living donation by a minor to his or her identical twin sibling.

Adult-to-Adult Living-Donor Liver Transplantation

Swiss Surgery ◽  
2003 ◽  
Vol 9 (5) ◽  
pp. 227-236 ◽  
Author(s):  
Majno ◽  
Mentha ◽  
Berney ◽  
Bühler ◽  
Giostra ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Living Donor ◽  
Living Donor Liver Transplantation ◽  
Therapeutic Option ◽  
Donor Liver ◽  
Donor Liver Transplantation ◽  
Multidisciplinary Program ◽  
First Case ◽  
Living Donor Transplantation ◽  
The Right

Living donor liver transplantation is a relatively new procedure in which the right side of the liver is harvested in a healthy donor and transplanted into a recipient. After the first case in 1994, over 3000 cases have been done worldwide. This review summarizes the reasons why the procedure is needed, describes its main technical aspects, highlights the boundaries in which it can be done safely, summarizes the current experience worldwide and describes the main points of the program in our unit. We argue that living-donor transplantation is a viable alternative to a long time on the waiting list for several patients, and it can be performed safely and successfully provided that all precautions are undertaken to minimize the risks in the donor and to increase the chances of a good outcome in the recipients. If these prerequisites are met, and within the framework of a structured multidisciplinary program, we believe that living-donor liver transplantation should be funded by health insurances as a recognized therapeutic option.

scholarly journals The Psychosocial and Independent Living Donor Advocate Evaluation and Post-surgery Care of Living Donors

2015 ◽  
Vol 22 (2-3) ◽  
pp. 136-149 ◽  
Author(s):  
Dianne LaPointe Rudow ◽  
Kathleen Swartz ◽  
Chelsea Phillips ◽  
Jennifer Hollenberger ◽  
Taylor Smith ◽  
...  
Keyword(s):  
Independent Living ◽  
Living Donor ◽  
Living Donors ◽  
Post Surgery

Outcome of renal transplantation from older living donors compared to younger living donor in developing country

Renal Failure ◽  
2014 ◽  
Vol 36 (10) ◽  
pp. 1516-1519 ◽  
Author(s):  
Himanshu V. Patel ◽  
Vivek B. Kute ◽  
Pankaj R. Shah ◽  
Aruna V. Vanikar ◽  
Jigar D. Shrimali ◽  
...  
Keyword(s):  
Renal Transplantation ◽  
Developing Country ◽  
Living Donor ◽  
Living Donors

scholarly journals Coupling and Deviating of Altruism-Voluntariness Relationship in Organ Transplantation

2021 ◽  
Author(s):  
Mesut Güvenbaş ◽  
Omur Sayligil
Keyword(s):  
Organ Transplantation ◽  
Living Donor ◽  
Living Donors ◽  
Indirect Utility ◽  
Universal Principle ◽  
Right To Life ◽  
Human Right ◽  
Real Situation ◽  
New Approach ◽  
The Right

Organ transplantation is an issue that concerns two people (donor and recipient) at the same time in terms of the right to life, which is the most basic human right. The direct utility arising from organ transplantation involves the patient to whom the organ is transplanted, and the indirect utility relates to the donor. Today, the decision to obtain an organ from a living donor is based on the idea of doing something good by those who sacrifice themselves for their relatives. The person who donates an organ treats their body as an instrument and uses their willpower on it. If the statement “I will care about the health of others” is accepted as a universal principle, it will be very important to establish a balance between the duty of caring for the health of others and protecting one’s own health. If we want to introduce a new approach to be adopted in the assessment of living donors in society, we must look at the real situation in terms of utility, altruism, and volunteering. This Chapter thus evaluates organ transplantation from living donors in terms of utility, altruism, and volunteering.

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