Should minors and young adults qualify as potential live kidney donors? The views of international transplant professionals.
Adolescent
Adult
Aged
Child
Decision Making
Female
Humans
International Cooperation
Kidney
/ surgery
Kidney Transplantation
/ ethics
Living Donors
Male
Middle Aged
Minors
Nephrectomy
Prospective Studies
Qualitative Research
Surveys and Questionnaires
Tissue and Organ Procurement
/ ethics
Treatment Outcome
Young Adult
kidney transplantation
minors
organ donation
qualitative research
young adult
Journal
Pediatric transplantation
ISSN: 1399-3046
Titre abrégé: Pediatr Transplant
Pays: Denmark
ID NLM: 9802574
Informations de publication
Date de publication:
09 2019
09 2019
Historique:
received:
17
03
2017
revised:
21
05
2019
accepted:
24
05
2019
pubmed:
21
6
2019
medline:
14
7
2020
entrez:
21
6
2019
Statut:
ppublish
Résumé
Although live kidney donation (LD) has become an increasingly common procedure, European and US transplant centres disagree as to whether minors and young adults should qualify as donor candidates. Therefore, we aimed to better understand the attitudes and viewpoints of transplant professionals. We conducted fourteen in-depth interviews with a purposive sample of international transplant professionals from various professional backgrounds. Data analysis was guided by QUAGOL, a systematic approach based on the constant-comparative method. Professionals expressed a cautionary view, worrying about the uncertain long-term medical and psychosocial consequences of LD at a young age. They also worried that young individuals' decisions are more likely to be influenced by their psychosocial developmental stage or family pressure. As these concerns were more significant for minors as compared to young adults, minors were deemed ineligible for LD except for in highly exceptional circumstances. Professionals' attitudes were also influenced by the expected benefits for the recipient and the availability of therapeutic alternatives, as well as the strength of the donor-recipient relationship. More prospective research on the long-term medical and psychological outcomes in young adult donors is likely to shed more light on the acceptability of LD by adolescents and young adults.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e13526Informations de copyright
© 2019 Wiley Periodicals, Inc.
Références
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