Report From a Multidisciplinary Symposium on the Future of Living Kidney Donor Transplantation.

Autor:	Peters TG; Department of Surgery, University of Florida, Jacksonville, FL, USA., Fung JJ; University of Chicago Transplant Institute, Chicago, IL, USA., Radcliffe-Richards J; Oxford Uehiro Centre for Practical Ethics, University of Oxford, Oxford, UK., Satel S; American Enterprise Institute, Washington, DC, USA., Roth AE; Nobel Laurette in Economics, Stanford University, Palo Alto, CA, USA., McCormick F; Department of Economics, Bank of America (retired), Walnut Creek, CA, USA., Gershun M; Kidney Donor, Author, and Consultant, Fairway, KS, USA., Matas AJ; Department of Surgery, University of Minnesota, Minneapolis, MN, USA., Roberts JP; Department of Surgery, University of California, San Francisco, CA, USA., Morrison J; Waitlist Zero, New York, NY, USA., Chertow GM; Division of Nephrology, Stanford University School of Medicine, Palo Alto, CA, USA., Lee LD; Living Donor, NKDO., Held PJ; Division of Nephrology, Stanford University School of Medicine, Palo Alto, CA, USA., Ojo A; School of Medicine, University of Kansas, Kansas City, KS, USA.
Jazyk:	angličtina
Zdroj:	Progress in transplantation (Aliso Viejo, Calif.) [Prog Transplant] 2023 Dec; Vol. 33 (4), pp. 363-371. Date of Electronic Publication: 2023 Nov 15.
DOI:	10.1177/15269248231212911
Abstrakt:	Virtually all clinicians agree that living donor renal transplantation is the optimal treatment for permanent loss of kidney function. Yet, living donor kidney transplantation has not grown in the United States for more than 2 decades. A virtual symposium gathered experts to examine this shortcoming and to stimulate and clarify issues salient to improving living donation. The ethical principles of rewarding kidney donors and the limits of altruism as the exclusive compelling stimulus for donation were emphasized. Concepts that donor incentives could save up to 40 000 lives annually and considerable taxpayer dollars were examined, and survey data confirmed voter support for donor compensation. Objections to rewarding donors were also presented. Living donor kidney exchanges and limited numbers of deceased donor kidneys were reviewed. Discussants found consensus that attempts to increase living donation should include removing artificial barriers in donor evaluation, expansion of living donor chains, affirming the safety of live kidney donation, and assurance that donors incur no expense. If the current legal and practice standards persist, living kidney donation will fail to achieve its true potential to save lives. Competing Interests: Declaration of Conflicting InterestsThe authors declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: Dr Peters directs DCI Donor Services Research Fund and is a consultant for the Kidney Transplant Collaborative. Ms. Gershun is a Special Advisor to the Kidney Transplant Collaborative. The opinions expressed in this manuscript reflect those of the authors and not the institutions with which they are affiliated.
Databáze:	MEDLINE
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