Asim Muhammad, Al-Maslamani Yousuf, Al-Malki Hassan
Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar.
Qatar Med J. 2017 Jul 25;2017(2):3. doi: 10.5339/qmj.2017.3. eCollection 2017.
The increasing incidence of end-stage kidney disease in Qatar has led to growing demand for donor kidneys. The deceased donor kidney program has yet to achieve its full potential; hence, living kidney donation has been widely adopted as an appropriate alternative. The reliance on living kidney donors however, raises a number of social, ethical, and legal concerns surrounding informed consent, voluntarism, psychosocial evaluation, perioperative care, and long-term follow-up of living kidney donors. Many of these concerns become heightened in a multicultural, multilingual society within a Gulf country such as Qatar. This article provides an insight into the challenges that living kidney donation poses in a multiethnic society with significant socioeconomic divides. It also discusses the remedial measures that the Qatari government, healthcare authorities, and transplant community have adopted to address these issues.
卡塔尔终末期肾病发病率的上升导致对供体肾的需求不断增加。已故供体肾项目尚未充分发挥其潜力；因此，活体肾捐赠已被广泛采用作为一种合适的替代方案。然而，对活体肾捐赠者的依赖引发了一系列围绕知情同意、自愿性、心理社会评估、围手术期护理以及活体肾捐赠者长期随访的社会、伦理和法律问题。在卡塔尔这样的海湾国家的多元文化、多语言社会中，其中许多问题变得更加突出。本文深入探讨了活体肾捐赠在一个存在重大社会经济差异的多民族社会中所带来的挑战。它还讨论了卡塔尔政府、医疗当局和移植界为解决这些问题而采取的补救措施。
