Ambagtsheer F, van Balen L J, Duijst-Heesters W L J M, Massey E K, Weimar W
* Dit artikel is gebaseerd op een onderzoek dat eerder werd gepubliceerd in American Journal of Transplantation (2015;15:1759-67) met als titel 'Reporting organ trafficking networks: a survey-based plea to breach the secrecy oath'. Afgedrukt met toestemming.
Ned Tijdschr Geneeskd. 2018;162:D1992.
Patients travel worldwide to undergo kidney transplantations. Care providers in the Netherlands encounter these patients, both before and after the transplantation. We present the results of a survey that was distributed among Dutch transplant professionals about their experiences with patients who have undergone a kidney transplantation abroad. We propose that care providers should report illegal transplantations. Of the 241 surveyed professionals, 100 treated patients who travelled to a country outside the European Union for a kidney transplant. Thirty-one professionals were certain that patients purchased their kidney, and sixty-five had suspicions that it had been purchased. The majority reported a conflict of duties. Professionals can help prevent organ purchase by detecting and disclosing information about organ trafficking networks. The aim of reporting is two-fold. Firstly, such disclosure can lead to increased knowledge and information about organ trafficking. Secondly, it can support the police and law enforcement agencies to investigate if networks are involved in facilitation of these transplantations. In this manner, those who facilitate organ trafficking can be prosecuted and exploitation of donors can be prevented.
患者前往世界各地接受肾脏移植手术。荷兰的医疗服务提供者在移植手术前后都会接触到这些患者。我们展示了一项针对荷兰移植专业人员进行的调查结果，该调查围绕他们对在国外接受肾脏移植患者的经历展开。我们建议医疗服务提供者应举报非法移植行为。在接受调查的241名专业人员中，有100人治疗过前往欧盟以外国家进行肾脏移植的患者。31名专业人员确定患者购买了肾脏，65人怀疑肾脏是购买而来的。大多数人报告存在职责冲突。专业人员可以通过发现并披露有关器官贩运网络的信息来帮助预防器官买卖。举报的目的有两个方面。首先，这种披露可以增加有关器官贩运的知识和信息。其次，它可以支持警方和执法机构调查这些网络是否参与了此类移植手术的协助工作。通过这种方式，那些协助器官贩运的人可以被起诉，捐赠者遭受剥削的情况也可以得到预防。
