WFRF:(Van Assche G)
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Donor Autonomy and Self-Sacrifice in Living Organ Donation: An Ethical Legal and Psychological Aspects of Transplantation (ELPAT) View
- Mamode, N. (author)
- Van Assche, K. (author)
- Burnapp, L. (author)
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- Courtney, A. (author)
- van Dellen, D. (author)
- Houthoff, M. (author)
- Maple, H. (author)
- Moorlock, G. (author)
- Dor, Fjmf (author)
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- (creator_code:org_t)
- 2022-03-21
- 2022
- English.
- In: Transplant International. - : Frontiers Media SA. - 0934-0874 .- 1432-2277. ; 35:1
- Journal article (peer-reviewed)
Abstract
Subject headings
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- Clinical teams understandably wish to minimise risks to living kidney donors undergoing surgery, but are often faced with uncertainty about the extent of risk, or donors who wish to proceed despite those risks. Here we explore how these difficult decisions may be approached and consider the conflicts between autonomy and paternalism, the place of self-sacrifice and consideration of risks and benefits. Donor autonomy should be considered as in the context of the depth and strength of feeling, understanding risk and competing influences. Discussion of risks could be improved by using absolute risk, supra-regional MDMs and including the risks to the clinical team as well as the donor. The psychological effects on the donor of poor outcomes for the untransplanted recipient should also be taken into account. There is a lack of detailed data on the risks to the donor who has significant co-morbidities.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
Keyword
- risk
- kidney
- transplantation
- living donation
- autonomy 2
- kidney donors
- risk
- guidelines
- impact
- liver
- care
- Surgery
- Transplantation
Publication and Content Type
- ref (subject category)
- art (subject category)
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- Mamode, N.
- Van Assche, K.
- Burnapp, L.
- Courtney, A.
- van Dellen, D.
- Houthoff, M.
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- Maple, H.
- Moorlock, G.
- Dor, Fjmf
- Lennerling, Anne ...
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- MEDICAL AND HEALTH SCIENCES
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- University of Gothenburg
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