Statement of the Declaration of Istanbul Custodian Group Regarding Payments to Families of Deceased Organ Donors.

Abstract:

:Governmental and private programs that pay next of kin who give permission for the removal of their deceased relative's organs for transplantation exist in a number of countries. Such payments, which may be given to the relatives or paid directly for funeral expenses or hospital bills unrelated to being a donor, aim to increase the rate of donation. The Declaration of Istanbul Custodian Group-in alignment with the World Health Organization Guiding Principles and the Council of Europe Convention Against Trafficking in Human Organs-has adopted a new policy statement opposing such practices. Payment programs are unwise because they produce a lower rate of donations than in countries with voluntary, unpaid programs; associate deceased donation with being poor and marginal in society; undermine public trust in the determination of death; and raise doubts about fair allocation of organs. Most important, allowing families to receive money for donation from a deceased person, who is at no risk of harm, will make it impossible to sustain prohibitions on paying living donors, who are at risk. Payment programs are also unethical. Tying coverage for funeral expenses or healthcare costs to a family allowing organs to be procured is exploitative, not "charitable." Using payment to overcome reluctance to donate based on cultural or religious beliefs especially offends principles of liberty and dignity. Finally, while it is appropriate to make donation "financially neutral"-by reimbursing the added medical costs of evaluating and maintaining a patient as a potential donor-such reimbursement may never be conditioned on a family agreeing to donate.

journal_name

Transplantation

journal_title

Transplantation

authors

Capron AM,Delmonico FL,Dominguez-Gil B,Martin DE,Danovitch GM,Chapman J

doi

10.1097/TP.0000000000001198

subject

Has Abstract

pub_date

2016-09-01 00:00:00

pages

2006-9

issue

9

eissn

0041-1337

issn

1534-6080

journal_volume

100

pub_type

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    doi:10.1097/TP.0000000000003414

    authors: Ziogas IA,Johnson WR,Matsuoka LK,Rauf MA,Thurm C,Hall M,Bacchetta M,Godown J,Alexopoulos SP

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    pub_type: 临床试验,杂志文章

    doi:10.1097/00007890-199108000-00017

    authors: Pascual J,Marcén R,Orofino L,Quereda C,Mampaso F,Liaño F,Ortuño J

    更新日期:1991-08-01 00:00:00

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    doi:10.1097/01.tp.0000243360.64554.fa

    authors: Fukueda M,Ishizaki N,Hamada N,Kadono J,Kaieda M,Nakamura N,Komokata T,Sakata R

    更新日期:2006-11-27 00:00:00

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    pub_type: 杂志文章

    doi:10.1097/TP.0000000000001809

    authors: Bellon H,Vandermeulen E,Verleden SE,Heigl T,Vriens H,Lammertyn E,Verlinden L,Vanhove T,Verstuyf M,Hoet P,Vos R,Verleden GM,Vanaudenaerde BM

    更新日期:2017-12-01 00:00:00

  • Impact of Tacrolimus Compared With Cyclosporin on the Incidence of Acute Allograft Rejection in Human Immunodeficiency Virus-Positive Kidney Transplant Recipients.

    abstract:BACKGROUND:Kidney transplantation (KT) of human immunodeficiency virus (HIV)-positive patients has transformed the management of end-stage kidney disease in this population. Although favourable outcomes have been reported, patients experience high rates of acute allograft rejection (AR). We examined factors associated ...

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    pub_type: 杂志文章

    doi:10.1097/TP.0000000000000879

    authors: Gathogo E,Harber M,Bhagani S,Levy J,Jones R,Hilton R,Davies G,Post FA,UK HIV Kidney Transplantation Study Group.

    更新日期:2016-04-01 00:00:00