Japan: Psychiatric history in living kidney donor candidates

[Clark]

http://journals.lww.com/co-transplantation/Abstract/publishahead/Psychiatric_history_in_living_kidney_donor.99685.aspx

Psychiatric history in living kidney donor candidates
Nishimura, Katsuji; Kobayashi, Sayaka; Ishigooka, Jun
Current Opinion in Organ Transplantation:
Published Ahead-of-Print
doi: 10.1097/MOT.0b013e3283510885

Abstract
Purpose of review: To critically discuss recent studies of living kidney donor candidates with a past or current psychiatric history and to offer guidance for the psychosocial evaluation of such donors.

Recent findings: A global consensus has been developed that active, significant mental illness and substance abuse are absolute contraindications to organ donation due to diminished ability to make a well informed, rational decision about donation or to maintain health status after donation. However, to date, there has been little information published on the suitability for donation and the long-term psychosocial and medical outcomes after donation in donors with mental health issues, especially relatively milder psychiatric disorders, or past significant psychiatric history.

Summary: To resolve the ethical dilemma of whether living donor candidates with mental health issues should be allowed to donate as is their right or be considered a vulnerable group in need of protection, we need more information. Information should include careful evaluation, possible intervention and follow-up to optimize donation.