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Donating a kidney to a stranger : a review of the benefits and controversies of unspecified kidney donation

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Maple, Hannah, Draper, Heather, Gogalniceanu, Petrut, Burnapp, Lisa, Chilcot, Joseph and Mamode, Nizam (2020) Donating a kidney to a stranger : a review of the benefits and controversies of unspecified kidney donation. Annals of Surgery, 272 (1). pp. 45-47. doi:10.1097/SLA.0000000000003855 ISSN 0003-4932.

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Official URL: https://doi.org/10.1097/SLA.0000000000003855

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Abstract

Summary of Background Data:
Unspecified kidney donation (UKD) describes living donation of a kidney to a stranger. The practice is playing an increasingly important role within the transplant programme in the United Kingdom, where these donors are commonly used to trigger a chain of transplants; thereby amplifying the benefit derived from their donation. The initial reluctance to accept UKD was in part due to uncertainty about donor motivations and whether the practice was morally and ethically acceptable.

Objectives:
This article provides an overview of UKD and answers common questions regarding the ethical considerations, clinical assessment, and how UKD kidneys are used to maximize utility. Existing literature on outcomes after UKD is also discussed, along with current controversies.

Conclusions:
We believe UKD is an ethically acceptable practice which should continue to grow, despite its controversies. In our experience, these donors are primarily motivated by a desire to help others and utilization of their kidney as part of a sharing scheme means that many more people seek to benefit from their very generous donation.

Item Type: Journal Article
Subjects: R Medicine > RD Surgery
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Social Science & Systems in Health (SSSH)
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH): Kidneys -- Transplantation -- Great Britain, Transplantation of organs, tissues, etc., Kidneys -- Diseases -- Patients -- Care, Organ donors, Donation of organs, tissues, etc. -- Psychological aspects, Living related donor transplantation -- Psychological aspects
Journal or Publication Title: Annals of Surgery
Publisher: Lippincott Williams & Wilkins
ISSN: 0003-4932
Official Date: July 2020
Dates:
DateEvent
July 2020Published
27 March 2020Available
3 February 2020Accepted
Volume: 272
Number: 1
Page Range: pp. 45-47
DOI: 10.1097/SLA.0000000000003855
Status: Peer Reviewed
Publication Status: Published
Reuse Statement (publisher, data, author rights): "This is a non-final version of an article published in final form in Maple, Hannah PhD*; Draper, Heather PhD†; Gogalniceanu, Petrut FRCS‡; Burnapp, Lisa MA‡,§; Chilcot, Joseph PhD¶; Mamode, Nizam FRCS‡ Donating a Kidney to a Stranger, Annals of Surgery: March 27, 2020 - Volume Publish Ahead of Print - Issue - doi: 10.1097/SLA.0000000000003855
Access rights to Published version: Restricted or Subscription Access
Copyright Holders: Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.
Description:

Free access

Date of first compliant deposit: 13 February 2020
Date of first compliant Open Access: 27 March 2021
RIOXX Funder/Project Grant:
Project/Grant IDRIOXX Funder NameFunder ID
13/54/54National Institute for Health Research (Great Britain). Service Delivery and Organisation Programmehttp://viaf.org/viaf/133961208
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