Choudhury Devasmita, Jotterand Fabrice, Casenave Gerald, Smith-Morris Carolyn
University of Virginia, Charlottesville.
University of Basel, Switzerland.
Prog Transplant. 2014 Jun;24(2):163-8. doi: 10.7182/pit2014757.
Living organ donation has become more common across the world. To ensure an informed consent process, given the complex issues involved with organ donation, independent donor advocacy is required. The choice of how donor advocacy is administered is left up to each transplant center. This article presents the experience and process of donor advocacy at University of Texas Southwestern Medical Center administered by a multidisciplinary team consisting of physicians, surgeons, psychologists, medical ethicists and anthropologists, lawyers, a chaplain, a living kidney donor, and a kidney transplant recipient. To ensure that advocacy remains fair and consistent for all donors being considered, the donor advocacy team at University of Texas Southwestern Medical Center developed the Independent Donor Ethical Assessment, a tool that may be useful to others in rendering donor advocacy. In addition, the tool may be modified as circumstances arise to improve donor advocacy and maintain uniformity in decision making.
活体器官捐赠在全球范围内已变得更为普遍。鉴于器官捐赠涉及诸多复杂问题，为确保知情同意程序，需要独立的捐赠者支持。捐赠者支持的管理方式由各移植中心自行决定。本文介绍了德克萨斯大学西南医学中心由多学科团队进行捐赠者支持的经验和过程，该团队成员包括内科医生、外科医生、心理学家、医学伦理学家、人类学家、律师、牧师、活体肾捐赠者和肾移植受者。为确保对所有被考虑的捐赠者而言，支持工作保持公平且一致，德克萨斯大学西南医学中心的捐赠者支持团队开发了“独立捐赠者伦理评估”工具，该工具可能对其他机构开展捐赠者支持工作有用。此外，该工具可根据具体情况进行修改，以改进捐赠者支持工作并保持决策的一致性。
