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Living Donation Discussion and News => Living Donation in the News => Topic started by: Clark on December 10, 2015, 09:18:27 AM
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http://onlinelibrary.wiley.com/doi/10.1111/ajt.13515/abstract (http://onlinelibrary.wiley.com/doi/10.1111/ajt.13515/abstract)
Practices for Supporting and Confirming Decision-Making Involved in Kidney and Liver Donation by Related Living Donors in Japan: A Nationwide Survey
K. Nishimura1,*, S. Kobayashi1, J. Tsutsui1, H. Kawasaki2, S. Katsuragawa3, S. Noma4, H. Kimura5, H. Egawa6, K. Yuzawa7, K. Umes***a8, A. Aikawa9, S. Uemoto10, S. Takahara11 andJ. Ishigooka1
DOI: 10.1111/ajt.13515
American Journal of Transplantation
Early View (Online Version of Record published before inclusion in an issue) (http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1600-6143/earlyview)
Abstract
This nationwide survey investigated the actual practices for supporting and confirming the decision-making involved in related living-organ donations in Japan, focusing on organ type and program size differences. Answers to a questionnaire survey were collected from 89 of the 126 (71%) kidney and 30 of the 35 (86%) liver transplantation programs in Japan that were involved in living-donor transplantations in 2013. In 70% of the kidney and 90% of the liver transplantation programs, all donors underwent “third-party” interviews to confirm their voluntariness. The most common third parties were psychiatrists (90% and 83%, respectively). Many programs engaged in practices to support decision-making by donor candidates, including guaranteeing the right to withdraw consent to donate (70% and 100%, respectively) and prescribing a set “cooling-off period” (88% and 100%, respectively). Most donors were offered care by mental health specialists (86% and 93%, respectively). Third parties were designated by more of the larger kidney transplant programs compared with the smaller programs. In conclusion, the actual practices supporting and confirming the decision to donate a living organ varied depending on the organ concerned and the number of patients in the program.