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Related Concept Videos

Kidney Transplant I: Introduction01:28

Kidney Transplant I: Introduction

A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
Kidney Transplant II: Surgical Procedure01:26

Kidney Transplant II: Surgical Procedure

Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living donor...
Kidney Transplant III: Nursing Management01:16

Kidney Transplant III: Nursing Management

Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
Tissue Transplantation01:24

Tissue Transplantation

Tissue transplantation is a significant medical procedure involving the transfer of cells, tissues, or organs from a donor to a recipient, with the primary aim of restoring lost functions. This procedure is crucial in treating a broad spectrum of diseases, including kidney diseases, liver failure, heart disease, and certain types of cancers.
The Biology of Tissue Transplantation
The biology of tissue transplantation hinges on the Major Histocompatibility Complex (MHC) molecules. These molecules...

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Articles linked to this work by shared authors, journal, and citation graph.

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Corrigendum to "Outcomes and motivations in unspecified (nondirected altruistic) kidney donation: Results from a United Kingdom prospective cohort study" [American Journal of Transplantation. Volume 25, Issue 9, September 2025, Pages 1965-1975].

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Robot-Assisted Kidney Transplantation
07:30

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Published on: July 19, 2021

Understanding risk in living donor nephrectomy.

Najma H Maple1, Vassilis Hadjianastassiou, Roger Jones

  • 1Department of Transplantation, Guy's Hospital, St Thomas' Street, London SE1 9RT, UK.

Journal of Medical Ethics
|March 10, 2010
PubMed
Summary

Living kidney donors accept higher risks than currently communicated, particularly when survival chances are emphasized. This finding suggests improved risk communication could enhance donor willingness.

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Area of Science:

  • Nephrology
  • Transplantation Surgery
  • Medical Ethics

Background:

  • Living kidney donation is crucial for addressing organ shortages.
  • Understanding donor risk perception is vital for ethical practice and informed consent.

Purpose of the Study:

  • To investigate risk perception in living kidney donation.
  • To compare acceptable donor risk with current practices.
  • To identify factors influencing risk acceptance.

Main Methods:

  • Observational study using questionnaires for living donors and the general public.
  • Participants indicated acceptable risk levels in various donation scenarios.
  • Risk communication framing (survival vs. death) was manipulated.

Main Results:

  • 74% of participants accepted a death risk > 1/3000; 29% accepted 1/2 risk.
  • Framing risk as 'chance of survival' led to higher risk acceptance (p<0.01).
  • Closer relation to recipient and worse recipient prognosis increased accepted risk.

Conclusions:

  • Living kidney donors are willing to accept higher risks than typically disclosed.
  • Presenting risks in terms of survival probability enhances risk acceptance.
  • Risk communication strategies significantly influence donor perception.