Lennerling Annette, Nyberg Gudrun
Department of Transplantation and Liver Surgery, Sahlgrenska University Hospital, 413 45 Gothenburg, Sweden.
Transpl Int. 2004 Sep;17(8):449-52. doi: 10.1007/s00147-004-0744-1. Epub 2004 Aug 21.
To meet the constantly growing demand for organs for transplantation the use of living related and unrelated donors continues to increase. Transplant units with a living-donor programme often provide written information to their potential kidney donors. We saw a need to assess the contents of these brochures. Written information for potential live kidney donors was requested from different Transplant units throughout the world. We obtained and analysed 16 different brochures from 14 countries. The general approach ranged from persuasive to almost deterring. Sixteen main themes were identified in the information material. Eight of those were considered paramount, namely voluntarism, medical suitability, short-term donor risks, long-term donor risks, risk of graft loss, outcome with and without a living donor, postoperative course, and financial conditions. Five brochures covered all these crucial matters. When mentioned, examples and interpretations of donor risks were very dissimilar. Furthermore, the conditions for donation were obviously very different in the various countries. This review points at essential issues to be included in the written information for living kidney donors. All transplant units with a living-donor programme should provide such information, thus enabling the potential donor to make a thorough decision.
为满足对移植器官不断增长的需求,亲属活体供者和非亲属活体供者的使用持续增加。开展活体供者项目的移植单位通常会向潜在的肾脏供者提供书面信息。我们认为有必要评估这些手册的内容。我们向全球不同的移植单位索要了针对潜在活体肾脏供者的书面信息。我们从14个国家获取并分析了16份不同的手册。其总体风格从具有说服力到几乎具有威慑力不等。在这些信息材料中确定了16个主要主题。其中8个被认为至关重要,即自愿原则、医学适用性、供者短期风险、供者长期风险、移植物丢失风险、有或无活体供者时的结果、术后过程以及经济状况。有5份手册涵盖了所有这些关键问题。在提及供者风险时,示例和解释差异很大。此外,各国的捐赠条件显然差异很大。本综述指出了活体肾脏供者书面信息中应包含的重要问题。所有开展活体供者项目的移植单位都应提供此类信息,从而使潜在供者能够做出全面的决定。