Donating a Kidney to a Stranger
- 27 March 2020
- journal article
- editorial
- Published by Ovid Technologies (Wolters Kluwer Health) in Annals of Surgery
- Vol. 272 (1), 45-47
- https://doi.org/10.1097/sla.0000000000003855
Abstract
Summary of Background Data: Unspecified kidney donation (UKD) describes living donation of a kidney to a stranger. The practice is playing an increasingly important role within the transplant programme in the United Kingdom, where these donors are commonly used to trigger a chain of transplants; thereby amplifying the benefit derived from their donation. The initial reluctance to accept UKD was in part due to uncertainty about donor motivations and whether the practice was morally and ethically acceptable. Objectives: This article provides an overview of UKD and answers common questions regarding the ethical considerations, clinical assessment, and how UKD kidneys are used to maximize utility. Existing literature on outcomes after UKD is also discussed, along with current controversies. Conclusions: We believe UKD is an ethically acceptable practice which should continue to grow, despite its controversies. In our experience, these donors are primarily motivated by a desire to help others and utilization of their kidney as part of a sharing scheme means that many more people seek to benefit from their very generous donation.Keywords
This publication has 7 references indexed in Scilit:
- Understanding barriers and outcomes of unspecified (non-directed altruistic) kidney donation from both professional’s and patient’s perspectives: research protocol for a national multicentre mixed-methods prospective cohort studyBMJ Open, 2017
- Motivations, Outcomes, and Characteristics of Unspecified (Nondirected Altruistic) Kidney Donors in the United KingdomTransplantation, 2014
- Understanding donation experiences of unspecified (altruistic) kidney donorsBritish Journal of Health Psychology, 2013
- Anonymity and Live-Donor TransplantationTransplantation, 2013
- “It was just an unconditional gift.” Self reflections of non‐directed living kidney donorsClinical Transplantation, 2012
- New Classification of ELPAT for Living Organ DonationTransplantation, 2011
- Twenty-Two Nondirected Kidney Donors: An Update on a Single Center's ExperienceAmerican Journal of Transplantation, 2004