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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...
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Online Patient Portal Use and Time to Renal Transplantation in Patients on Hemodialysis.

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Organ donation and imminent death: pro position.

Paul E Morrissey1

  • 1Division of Organ Transplantation, Alpert Medical School of Brown University, Providence, Rhode Island, USA.

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|December 28, 2016
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Summary
This summary is machine-generated.

Imminent death donation (IDD) offers a distinct approach to organ donation, potentially improving outcomes for recipients and honoring donor families. Further implementation is recommended to explore its benefits in specific cases.

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Area of Science:

  • Transplantation Medicine
  • Bioethics
  • Organ Donation Policy

Background:

  • Donation after cardiac death (DCD) faces challenges like ischemic injury and delayed allograft function.
  • Imminent death donation (IDD) is proposed as a distinct category, separate from living donation and DCD.

Purpose of the Study:

  • To review the ethical considerations and potential benefits of imminent death donation (IDD).
  • To advocate for the continued exploration and implementation of IDD strategies.

Main Methods:

  • Review of an established IDD protocol from Rhode Island Hospital.
  • Analysis of reviews and statements from the United Network for Organ Sharing (UNOS) Ethics Committee and working groups.

Main Results:

  • An IDD protocol was developed and deemed ethically appropriate in some cases by the UNOS Ethics Committee.
  • UNOS working groups supported IDD but noted policy revision needs and concerns about public trust.
  • IDD and similar strategies are being discussed, proposed, and implemented internationally.

Conclusions:

  • The medical community should continue efforts to implement imminent death donation (IDD).
  • IDD can align donor family wishes with successful organ transplantation and dignified end-of-life care.
  • In select situations, IDD represents the optimal strategy for achieving these combined goals.