I Hate Dialysis Message Board
Dialysis Discussion => Dialysis: News Articles => Topic started by: okarol on June 22, 2013, 12:51:18 PM
-
How Young Is Too Young to Be a Living Donor?
M. Campbell1,2,3,*, L. Wright1,3,4, R. A. Greenberg3,5,6, D. Grant2,4,7
Article first published online: 10 JUN 2013
DOI: 10.1111/ajt.12307
© Copyright 2013 The American Society of Transplantation and the American Society of Transplant Surgeons
Issue
American Journal of Transplantation
View Full Article (HTML) Get PDF (127K)
Keywords:
Ethics;informed consent;living donor transplantation;pediatric donor;risk
Abstract
Assessing people in adolescence and early adulthood who wish to become living organ donors (LDs) provides unique challenges. In several Canadian provinces, 16-year-old can legally consent to living organ donation. While the World Health Organization states that adolescence corresponds roughly to the ages of 10–19 years, parts of the brain associated with judgment continue to develop into the mid-20s. Therefore, it is legally possible for some young people to donate organs before their capacity to judge the benefits and risks of surgery has fully matured. Potential young living donors (YLDs) may be financially and/or psychologically dependent on their recipients (e.g. parents), which can make it difficult to determine if the YLD's donation is voluntary. This paper suggests ways to manage three ethical challenges in the use of young people as LDs: (1) determining the YLD's ability to appreciate the consequences of living organ donation, (2) determining whether the YLD's donation is voluntary and (3) evaluating the unique risks and benefits to the YLD. We conclude that there are compelling ethical reasons to offer the opportunity of living donation to selected young people. A thorough and fair evaluation process can address social, emotional and developmental issues associated with YLDs.
http://onlinelibrary.wiley.com/doi/10.1111/ajt.12307/abstract