Letters

Use of renal transplants from living donors

BMJ 1999; 318 doi: http://dx.doi.org/10.1136/bmj.318.7197.1553 (Published 05 June 1999) Cite this as: BMJ 1999;318:1553

Practice is essential to alleviate shortage of organs

  1. A S Daar, Visiting professor in health policy and society ([email protected])
  1. Faculty of Law, University of Toronto, Canada
  2. Nuffield Department of Surgery, Oxford Transplant Centre, Churchill Hospital, Oxford OX3 7LJ

    EDITOR—Nicholson and Bradley call for an increase in the donation of organs from living donors.1 I have held this view for several years.2 The negative attitudes of the directors of transplant programmes are one of the main causes of the low rate of living donation in Britain.

    I have suggested a donor charter to ensure that positive attitudes to living donation prevail in a transplant programme.3 It would include a call for familiarisation with the advantages of living donation, including its ethical acceptability and better results. It would also provide the potential recipient and his or her family with understandable information, which should include the risks involved, the experience of previous successful living donors, and the fact that living donation would enable pre-emptive transplantation before dialysis.

    In a recent review colleagues and I have provided evidence based justification for living renal donation and discussed the ethical issues involved.2 …

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