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

ملخص

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.

Loading

جارٍ تحميل قياسات المقالة...

/content/journals/10.5339/qmj.2017.3
٢٠١٧-٠٧-٢٥
٢٠٢٤-٠٧-٢٧
Loading full text...

Full text loading...

/deliver/fulltext/qmj/2017/2/qmj.2017.3.html?itemId=/content/journals/10.5339/qmj.2017.3&mimeType=html&fmt=ahah

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 الباحث العلمي]
  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 الباحث العلمي]
  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 الباحث العلمي]
  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 الباحث العلمي]
  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 الباحث العلمي]
  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 الباحث العلمي]
  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 الباحث العلمي]
  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 الباحث العلمي]
  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 الباحث العلمي]
  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 الباحث العلمي]
  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 الباحث العلمي]
  15. Kekes J. Morality and altruism. J Value Inquiry. 1981; 15:4:265278.
    [Google الباحث العلمي]
  16. Scheper-Hughes N. The tyranny of the gift: Sacrificial violence in living donor transplants. Am J Transplant. 2007; 7:3:507511.
    [Google الباحث العلمي]
  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 الباحث العلمي]
  18. Truog R. The ethics of organ donation by living donors. N Engl J Med. 2005; 353:5:444446.
    [Google الباحث العلمي]
  19. Vastag B. Living-donor transplants reexamined. JAMA. 2003; 290:2:181.
    [Google الباحث العلمي]
  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 الباحث العلمي]
  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 الباحث العلمي]
  23. Steinbrook R. Public solicitation of organ donors. N Engl J Med. 2005; 353:5:441444.
    [Google الباحث العلمي]
  24. Ross L. Media appeals for directed altruistic living liver donations: Lessons from Camilo Sandoval Ewen. Perspect Biol Med. 2002; 45:3:329337.
    [Google الباحث العلمي]
  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 الباحث العلمي]
  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 الباحث العلمي]
  27. Joint Commission Resources. Joint Commission International Accreditation Standards for Hospitals . Oakbrook Terrace, IL: Joint Commission Resources 2010.
    [Google الباحث العلمي]
  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 الباحث العلمي]
/content/journals/10.5339/qmj.2017.3
Loading
/content/journals/10.5339/qmj.2017.3
Loading

جارٍ تحميل البيانات والوسائط...

  • نوع المستند: Commentary Article
الموضوعات الرئيسية ethicskidney donationkidney transplantationliving donororgan donation and Qatar

الأكثر اقتباسًا لهذا الشهر Most Cited RSS feed

هذه الخانة مطلوبة
يُرجى إدخال عنوان بريد إلكتروني صالح
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error