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Informed consent to tissue donation: policies and practice.
Andrew Siegel1, Martha W Anderson, Tracy C Schmidt
1Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
Cell and Tissue Banking
|November 20, 2008
Summary
Informed consent for tissue donation in the US needs reevaluation. Current practices vary, with some key elements missing, impacting donor family rights and public trust in transplantation.
Area of Science:
- Medical Ethics
- Public Health Policy
- Transplantation Science
Background:
- Informed consent practices in the US tissue industry faced criticism approximately a decade ago.
- Key stakeholders proposed essential elements for an improved informed consent process.
Purpose of the Study:
- To assess the inclusion of recommended elements in the informed consent documents of Organ Procurement Organizations (OPOs).
- To identify gaps in current informed consent procedures for tissue donation.
Main Methods:
- Analysis of informed consent documents from 45 out of 58 national Organ Procurement Organizations (OPOs).
- Evaluation of the presence of specific suggested elements within these documents.
Main Results:
- Nearly all OPOs included elements related to the involvement of for-profit companies.
- Elements such as labeling tissue as a "gift" from donor families were notably absent in all reviewed documents.
Conclusions:
- Reexamination of informed consent is crucial for meaningful consent in tissue transplantation.
- Current practices require refinement to protect donor families, ensure realistic implementation, and maintain public trust.
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