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Published on: July 15, 2015
A Study on the Directed Living Non-Related Donor Kidney Transplantation Submitted to the Hospital Transplant Ethics
G Suguitan1, M-H I Arakama2, R Danguilan2
1Human Organ and Preservation Effort, National Kidney and Transplant Institute, Quezon City, Philippines.
Insights
Directed living non-related kidney donation, overseen by a Hospital Transplant Ethics Committee, provides a valuable source of kidney transplants. This ethical approach, with high approval rates, addresses donor motivations and ensures patient well-being.
Area of Science:
- Nephrology
- Transplant Surgery
- Medical Ethics
Background:
- The Philippines Department of Health banned non-related kidney donation in 2009.
- The National Kidney and Transplant Institute established a Hospital Transplant Ethics Committee.
- This study examines directed non-related kidney donation practices.
Purpose of the Study:
- To describe directed living non-related kidney donation.
- To evaluate the role of the Hospital Transplant Ethics Committee in these cases.
Main Methods:
- A retrospective review of recipient and donor profiles.
- Analysis of cases submitted to the Hospital Transplant Ethics Committee in 2014.
Main Results:
- 74 cases were reviewed; 70 (95%) were approved.
- Most donors (75%) initiated donation to reciprocate past kindness or out of empathy.
- All donors (100%) expected no return for their donation.
Conclusions:
- Directed living non-related kidney donation is an ethical and valuable supplementary source of organs.
- A Hospital Transplant Ethics Committee effectively manages these donations, ensuring ethical compliance.
Background:
In the latter part of 2009, the Department of Health of the Philippines prohibited kidney transplantation with non-related kidney donors. Hence, the National Kidney and Transplant Institute created a Hospital Transplant Ethics Committee. This study describes directed non-related kidney donation at the National Kidney and Transplant Institute.
Methods:
This retrospective study reviewed the profiles of recipients and directed living non-related kidney transplant donors submitted to the Hospital Transplant Ethics Committee.
Results:
A total 74 recipients and donors were reviewed by the Hospital Transplant Ethics Committee in 2014. Donors initiated the talks about being a donor (75%) to repay the good deeds that were done by the recipient for them or their families; examples of which are: sometime in their lives they needed financial assistance for hospitalization for their relatives and it was the patient who paid the hospital bill; or because they pitied the recipient, whom they found to be a good person, thus they would want to give one of their kidneys. Seventy-four (100%) said that they were not expecting anything in return for this act but wanted to be of help to the recipient. Of these 74 cases, 70 cases (95%) were approved and the others were disapproved.
Conclusions:
With a Hospital Transplant Ethics Committee in place, directed kidney donation is a valuable tool as an additional source of kidney donor without violating any ethical issues.
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01:28Kidney Transplant I: Introduction
01:26Kidney Transplant II: Surgical Procedure
01:16Kidney Transplant III: Nursing Management