Rodrigue James R, Antonellis Timothy, Mandelbrot Didier A, Hanto Douglas W
Department of Psychiatry, The Transplant Center, Beth Israel Deaconess Medical Center, Boston, MA 02215, USA.
Clin Transplant. 2008 Nov-Dec;22(6):749-53. doi: 10.1111/j.1399-0012.2008.00870.x. Epub 2008 Jul 18.
Websites have emerged to highlight the plight of patients awaiting kidney transplantation and to match them to potential good Samaritan living donors. Little is known about the patients who choose to solicit living donors online, so we examined the 224 profiles of potential kidney transplant recipients who registered on one donor matching website. The number of patients soliciting a living kidney donor is less than 0.5% of those who are awaiting kidney transplantation in the United States. Other than blood type, region, and gender surprisingly few sociodemographic and medical details were posted with most solicitation profiles. The considerable variability in what information is provided in patient profiles suggests that we know very little about who the solicitors are and further highlights one of the inherent ethical problems with public solicitation of living donors. Specifically, in some instances, a Good Samaritan's pursuit of living kidney donation may be based less on information potentially relevant to transplant outcome and more on the persuasiveness of the appeal.
一些网站纷纷出现，以突显等待肾移植患者的困境，并为他们寻找可能的好心活体供体。对于那些选择在网上寻求活体供体的患者，我们知之甚少，因此我们研究了在一个供体匹配网站上注册的224名潜在肾移植受者的资料。在美国，寻求活体肾供体的患者数量不到等待肾移植患者数量的0.5%。除了血型、地区和性别外，大多数寻求供体的资料中令人惊讶地几乎没有公布社会人口统计学和医学细节。患者资料中所提供信息的巨大差异表明，我们对寻求供体者的了解非常少，这进一步突显了公开寻求活体供体所固有的伦理问题之一。具体而言，在某些情况下，好心人的活体肾捐赠行为可能较少基于与移植结果潜在相关的信息，而更多地基于请求的说服力。
