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Organ donation from children: time for legal, ethical and cultural change

Joe Brierley1, Vic Larcher

  • 1Paediatric and Neonatal Intensive Care Unit, Great Ormond Street Hospital for Children NHS Trust, London, UK. brierj@gosh.nhs.uk

Acta Paediatrica (Oslo, Norway : 1992)
|June 15, 2011
PubMed

Insights

Optimizing organ donation from children in Europe requires addressing legal, ethical, and cultural barriers. Enabling families to choose pediatric organ donation is crucial given increased transplantation needs.

Area of Science:

  • Pediatric organ transplantation and donation science.
  • Bioethics and healthcare policy.

Background:

  • Increasing demand for pediatric organs for transplantation.
  • Declining brain death rates necessitate process optimization.
  • Incompatibility in offering organ donation opportunities to families across European countries.

Purpose of the Study:

  • To explore legal, ethical, and cultural barriers in pediatric organ donation.
  • To identify necessary changes for optimizing organ donation processes.
  • To review changes pertinent to both deceased and living pediatric organ donation.

Main Methods:

  • Review of existing literature on organ donation policies and practices in Europe.
  • Analysis of legal, ethical, and cultural factors influencing pediatric organ donation.
  • Comparative study of donation processes between and within European countries.

Main Results:

  • Significant discrepancies exist in European countries regarding the ability to offer families organ donation opportunities.
  • Palliative care and organ donation are compatible, yet implementation varies.
  • Legal, ethical, and cultural barriers impede optimal pediatric organ donation.

Conclusions:

  • Urgent legal, ethical, and cultural changes are needed across Europe.
  • Facilitating informed choices for parents and families regarding pediatric organ donation is essential.
  • Empowering families with the choice of organ donation is a critical step forward.
Abstract

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