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Risk Assessment and Management for Potential Living Kidney Donors

The Role of “Third-Party” Commission

Bibliographic Data

ID22085279
AuthorsLucia Tattoli (0000-0002-6299-9900, Azienda Ospedaliera Citta' della Salute e della Scienza di Torino), Davide Santovito (Azienda Ospedaliera Citta' della Salute e della Scienza di Torino), Ida Marina Raciti (Azienda Ospedaliera Citta' della Salute e della Scienza di Torino), Antonio Scarmozzino (Fondazione Ricerca Molinette), Giancarlo Di Vella (0000-0001-7096-8269, University of Turin)
Year2022
Volume10
Pages824048-824048
Publication date2022-03-17
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2022.824048
PMID35372186
OpenAlexW4220759428
LanguageEN
Citations received1
References cited22

Living kidney donation is the most common type of living-donor transplant. Italian guidelines allow the living donations from emotionally related donors only after clear and voluntary consent expressed by both the donor and the recipient involved. Living donation raises ethical and legal issues because donors voluntarily undergo a surgical procedure to remove a healthy kidney in order to help another person. According to the Italian standards, the assessment of living donor-recipient pair has to be conducted by a medical “third party”, completely independent from both the patients involved and the medical team treating the recipient. Starting from the Hospital “Città della Salute e della Scienza” of Turin (Italy) experience, including 116 living kidney donations, the Authors divided the evaluation process performed by the “Third-Party” Commission into four stages, with a particular attention to the potential donor. Living donation procedures should reflect fiduciary duties that healthcare providers have toward their patients, originating from the relationship of trust between physician and patient. In addition to that, the social implications are enormous if one considers the worldwide campaigns to promote public awareness about organ donation and transplantation, and to encourage people to register their organ donation decisions. The systematic process proposed here can be a tool that proactively reduces and controls the risks of coercion, organ trafficking, vitiated consent, insufficient weighting of donative choice, that could arise especially in donors involved in living kidney donation

Alternative medicine · Commission · Donation · Duty · Family medicine · Fiduciary · Health care · Informed consent · Kidney donation · Kidney transplantation · Organ donation · Political science · Grief, Bereavement, and Mental Health · Law · Medicine · Organ Donation and Transplantation · Palliative Care and End-of-Life Issues · Surgery · Transplantation

  • A medico-legal approach to developing a structured decision-making process for patients refusing blood transfusions

    Open Access•Lucia Tattoli, Davide Santovito•Frontiers in Public Health•2025

  • Partnership Satisfaction in Living Kidney Donors

    Open Access•Mariel Nöhre, Iris Pollmann et al.•Frontiers in Psychiatry•2018

  • Live Kidney Donations and the Ethic of Care

    Open Access•Francis Kane, Grace Clement et al.•Journal of Medical Humanities•2008

Citations per year1
Citation span2025 - 2025 (1)
Highly citedNo

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