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Ethics Committee

Living Organ Donation by Persons with Certain Fatal Diseases who Meet the Criteria to be Living Organ Donors. Ethics Committee. What problem will the resource address?. Reluctance of transplant hospitals to approve persons with certain fatal diseases for living donation due to:

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Ethics Committee

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  1. Living Organ Donation by Persons with Certain Fatal Diseases who Meet the Criteria to be Living Organ Donors Ethics Committee

  2. What problem will the resource address? Reluctance of transplant hospitals to approve persons with certain fatal diseases for living donation due to: • Potentially violating living donor informed consent policy • The requirement to report a living donor death to the OPTN

  3. What are the proposed solutions? White paper: • Addresses ethical issues of living organ donation by individuals with certain fatal diseases. • Reviews potential benefits and harms of living organ donation by these individuals. • Recommends ways the transplant community can adapt revise or develop policies for these individuals who want to be living donors.

  4. How will the OPTN implement this resource? • Dec. 2017: Anticipated Board of Directors review date • If approved, resource will be posted to the OPTN website: https://optn.transplant.hrsa.gov/resources/ethics • No member action required • Members may use resource voluntarily

  5. Questions? Elisa Gordon, PhD, MPH Committee Chair E-Gordon@northwestern.edu Lee Bolton Committee Liaison Lee.Bolton@unos.org

  6. Supporting Evidence • Anecdotal and published reports reveal that transplant hospitals have been reluctant to approve persons with certain fatal diseases for living donation. • This reluctance stems from concerns over violating informed consent policy requirements and because all living donor deaths within two years of the organ donation date must be reported to the OPTN through the Improving Patient Safety Portal. • http://www.nydailynews.com/news/national/dying-michigan-woman-leave-donate-organs-article-1.1421125 • Mezrich J & Scalea. As they lay dying. The Atlantic. April 2015, Health. http://www.theatlantic.com/magazine/archive/2015/04/as-they-lay-dying/386273/.1421125

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