1887
Volume 2017, Issue 2
  • ISSN: 0253-8253
  • EISSN: 2227-0426

Abstract

The increasing incidence of end-stage kidney disease in Qatar has led to growing demand for donor kidneys. The deceased donor kidney program has yet to achieve its full potential; hence, living kidney donation has been widely adopted as an appropriate alternative. The reliance on living kidney donors however, raises a number of social, ethical, and legal concerns surrounding informed consent, voluntarism, psychosocial evaluation, perioperative care, and long-term follow-up of living kidney donors. Many of these concerns become heightened in a multicultural, multilingual society within a Gulf country such as Qatar. This article provides an insight into the challenges that living kidney donation poses in a multiethnic society with significant socioeconomic divides. It also discusses the remedial measures that the Qatari government, healthcare authorities, and transplant community have adopted to address these issues.

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2017-07-25
2024-04-19
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References

  1. Ministry of Development Planning and Statistics. Mdps.gov.qa. 2016 [Internet]. Available from: http://www.mdps.gov.qa/en/pages/default.aspx. Doha, Qatar: Ministry of Development Planning and Statistics. [Accessed 2017 June 8].
  2. United States Renal Data System. Incidence, Prevalence, Patient Characteristics, and Treatment Modalities . USRDS Annual Data Report 2015 [Internet]. Ann Arbor, MI: United States Renal Data System Available from: https://www.usrds.org/2015/download/vol2_01_IncidenceandPrevalence_15.pdf [Accessed 2017 June 8] 2015.
    [Google Scholar]
  3. SESRIC – Statistical, Economic and Social Research and Training Centre for Islamic Countries. Sesrtcic.org. 2016 [Internet]. Ankara, Turkey: SESRIC. Available from: http://www.sesrtcic.org/oic-member-countries-infigures.php?c_code = 43 [Accessed 2017 June 8].
  4. Laveist T, Nuru-Jeter A. Is doctor-patient race concordance associated with greater satisfaction with care? J Health Soc Behav. 2002; 43:3:296.
    [Google Scholar]
  5. Meeuwesen L, Harmsen J, Bernsen R, Bruijnzeels M. Do Dutch doctors communicate differently with immigrant patients than with Dutch patients? Soc Sci Med. 2006; 63:9:24072417.
    [Google Scholar]
  6. Johnson R, Roter D, Powe N, Cooper L. Patient race/ethnicity and quality of patient–physician communication during medical visits. Am J Public Health. 2004; 94:12:20842090.
    [Google Scholar]
  7. Woodward R, Schnitzler M, Lowell J, Spitznagel E, Brennan D. Effect of extended coverage of immunosuppressive medications by Medicare on the survival of cadaveric renal transplants. Am J Transplant. 2001; 1:1:6973.
    [Google Scholar]
  8. Irving M, Tong A, Jan S, Cass A, Rose J, Chadban S, et al.  Factors that influence the decision to be an organ donor: A systematic review of the qualitative literature. Nephrol Dial Transplant. 2011; 27:6:25262533.
    [Google Scholar]
  9. Hamad Medical Corporation. Patient and family bill of rights and responsibilities [Internet]. Doha, Qatar: Hamad Medical Corporation. 2016.Available from: https://www.hamad.qa/EN/Patient-Information/Documents/Patient%20and%20Family%20Rights%20Poster%20English_2015.pdf [Accessed 2017 June 08].
  10. Krohn A. Renal function in 29 healthy adults before and after nephrectomy. JAMA. 1966; 196:4:322.
    [Google Scholar]
  11. Mjøen G, Hallan S, Hartmann A, Foss A, Midtvedt K, Øyen O, et al.  Long-term risks for kidney donors. Kidney Int. 2014; 86:1:162167.
    [Google Scholar]
  12. Garg A, Nevis I, McArthur E, Sontrop J, Koval J, Lam N, et al.  Gestational hypertension and preeclampsia in living kidney donors. New Engl J Med. 2015; 372:2:124133.
    [Google Scholar]
  13. Clarke K. The direct and indirect economic costs incurred by living kidney donors – a systematic review. Nephrol Dial Transplant. 2006; 21:7:19521960.
    [Google Scholar]
  14. Yang R, Thiessen-Philbrook H, Klarenbach S, Vlaicu S, Garg A. Insurability of living organ donors: A systematic review. Am J Transplant. 2007; 7:6:15421551.
    [Google Scholar]
  15. Kekes J. Morality and altruism. J Value Inquiry. 1981; 15:4:265278.
    [Google Scholar]
  16. Scheper-Hughes N. The tyranny of the gift: Sacrificial violence in living donor transplants. Am J Transplant. 2007; 7:3:507511.
    [Google Scholar]
  17. Child J. Chapter 2 – perspective on organised design until recent times. Organisation: Contemporary Principles and Practices. 2nd ed. Chichester: John Wiley and Sons Ltd 2015;:48.
    [Google Scholar]
  18. Truog R. The ethics of organ donation by living donors. N Engl J Med. 2005; 353:5:444446.
    [Google Scholar]
  19. Vastag B. Living-donor transplants reexamined. JAMA. 2003; 290:2:181.
    [Google Scholar]
  20. U.S. Department of Health & Human Services. Ethics – Living Non-Directed Organ Donation – OPTN [Internet]. Optn.transplant.hrsa.gov. 2016.Washington, DC: U.S. Department of Health & Human Services. Available from: https://optn.transplant.hrsa.gov/resources/ethics/living-non-directed-organ-donation/ [Accessed 2017 June 8].
  21. Adams P, Cohen D, Danovitch G, Edington R, Gaston R, Jacobs C, et al.  The nondirected live-kidney donor: Ethical considerations and practice guidelines. Transplantation. 2002; 74:4:582589.
    [Google Scholar]
  22. Olbrisch M, Benedict S, Haller D, Levenson J. Psychosocial assessment of living organ donors: Clinical and ethical considerations. Prog Transplant. 2001; 11:1:4049.
    [Google Scholar]
  23. Steinbrook R. Public solicitation of organ donors. N Engl J Med. 2005; 353:5:441444.
    [Google Scholar]
  24. Ross L. Media appeals for directed altruistic living liver donations: Lessons from Camilo Sandoval Ewen. Perspect Biol Med. 2002; 45:3:329337.
    [Google Scholar]
  25. Global Finance Magazine. The Richest Countries in the World [Internet] . New York, NY: Global Finance Magazine Available from: https://www.gfmag.com/global-data/economic-data/richest-countries-in-the-world [Accessed 2017 June 8] 2016.
    [Google Scholar]
  26. Hamad Medical Corporation. Laws Governing Organ Donation in Qatar [Internet]. Hamad.qa. 2016 . Doha, Qatar: Hamad Medical Corporation Available from: https://www.hamad.qa/en/your health/organ-donation/donation-in-qatar/pages/laws-governing-organ-donation-in-qatar.aspx [Accessed 2017 June 8].
    [Google Scholar]
  27. Joint Commission Resources. Joint Commission International Accreditation Standards for Hospitals . Oakbrook Terrace, IL: Joint Commission Resources 2010.
    [Google Scholar]
  28. Sixty-Third World Health Assembly, World Health Organization. WHO guiding principles on human cell, tissue and organ transplantation. Transplantation. 2010; 90:3:229233.
    [Google Scholar]
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  • Article Type: Commentary Article
Keyword(s): ethicskidney donationkidney transplantationliving donororgan donation and Qatar
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