Stimulus for Organ Donation: A Survey of the American Society of Transplant Surgeons Membership

  title={Stimulus for Organ Donation: A Survey of the American Society of Transplant Surgeons Membership},
  author={James R. Rodrigue and K Crist and John P. Roberts and R. B. Freeman, Jr. and Robert M. Merion and Alan I. Reed},
  journal={American Journal of Transplantation},
Federal legislation has been proposed to modify the National Organ Transplant Act in a way that would permit government‐regulated strategies, including financial incentives, to be implemented and evaluated. The Council and Ethics Committee of the American Society of Transplant Surgeons conducted a brief web‐based survey of its members’ (n = 449, 41.6% response rate) views on acceptable or unacceptable strategies to increase organ donation. The majority of the membership supports reimbursement… 
Financial compensation for organ donors
Currently, the transplant community broadly supports the removal of disincentives for living donors, including reimbursement of expenses for travel, housing and lost wages incurred during evaluation, surgery and after care.
Perspectives of transplant physicians and surgeons on reimbursement, compensation, and incentives for living kidney donors.
  • A. TongJ. ChapmanG. WongJ. Craig
  • Medicine, Political Science
    American journal of kidney diseases : the official journal of the National Kidney Foundation
  • 2014
Transplantation specialists believed that minimizing disincentives would support equity and justice in living kidney donation, and direct financial incentivization for living kidney donors was regarded by most as unjustified because of the potential moral consequences and uncertain feasibility.
National survey of Filipinos on acceptance of incentivized organ donation.
Attitudes toward strategies to increase organ donation: views of the general public and health professionals.
Overall, reimbursement of funeral expenses for deceased donors and a tax break for living donors were the most acceptable.
AST/ASTS Workshop on Increasing Organ Donation in the United States: Creating an “Arc of Change” From Removing Disincentives to Testing Incentives
This White Paper does not support any trials of direct payments or valuable considerations to donors or families based on a process of market‐assigned values of organs, and critically consider testing the impact and acceptability of incentives to increase organ availability in the United States.
How Different Conceptions of Risk Are Used in the Organ Market Debate
Both those who support and those who oppose a legalized living donor organ market rate risk to the donor among the most important factors to justify their position.
The Rationale for Incentives for Living Donors: An International Perspective?
  • A. Matas
  • Political Science, Medicine
    Current Transplantation Reports
  • 2015
The organ shortage has become a crisis for transplant candidates with end-stage renal disease, and a significant number of them either die while waiting or become too sick to transplant. A
The Living Donor Lost Wages Trial: Study Rationale and Protocol
The study addresses the transplant community’s call to reduce the financial burden of living donation and examine its impact on LDKT rates and has the potential to influence policy, clinical practice, LDKT access, and income-related and racial disparities in LDKT and living donation.
Concern for Lost Income Following Donation Deters Some Patients From Talking to Potential Living Donors
Concern about income loss for living donors may affect decision-making by both transplant candidates and potential donors, and lower annual household income was the only statistically significant predictor of both having a potential donor expressing lost income concern and choosing not to talk to someone because ofLost income concern.
Ethical Issues in Organ Donation from Brain-Dead Donors
This chapter examines ethical issues arising in the context of organ donation and transplantation generally, and specifically those associated with various proposals to increase the supply of transplantable organs, primarily through a critical analysis of the values shaping transplantation, as suggested by the moral language.


Notes on the new Israeli organ donation law-2008.
  • A. Jotkowitz
  • Medicine, Political Science
    Transplantation proceedings
  • 2008
Payment for donor kidneys: pros and cons.
Establishing a federal agency to manage marketing and purchase of donor kidneys in collaboration with the United Network for Organ Sharing might be financially self-sustaining as reduction in costs of dialysis balances the expense of payment to donors.
Iranian model of paid and regulated living-unrelated kidney donation.
  • A. GhodsS. Savaj
  • Medicine, Political Science
    Clinical journal of the American Society of Nephrology : CJASN
  • 2006
Compared with the developed countries, the severe shortage of transplantable kidneys has forced the transplant community to adopt new strategies to expand the kidney donor pool, but none of these approaches has the potential to eliminate or even alleviate steadily worsening renal transplant waiting lists.
Incentive Models to Increase Living Kidney Donation: Encouraging Without Coercing
The use of the expense reimbursement model along with safeguards will prevent vulnerable individuals from being coerced into donation and will monitor long‐term outcomes of donors using a donor registry.
Attitudes toward Financial Incentives, Donor Authorization, and Presumed Consent among Next-of-Kin Who Consented vs. Refused Organ Donation
Of the three initiatives, donor authorization is likely supported by more donor and nondonor families than either financial incentives or presumed consent, and public education efforts should aim to better inform the public regarding existing and proposed donor authorization legislation and its benefits for registered organ donors and their families.
Dialysis patient attitudes toward financial incentives for kidney donation.
Financial incentives for organ procurement. Ethical aspects of future contracts for cadaveric donors. Council on Ethical and Judicial Affairs, American Medical Association.
The Council responds to resolution 6 with this report and with a companion report on mandated choice and presumed consent for organ donation.
In defense of a regulated market in kidneys from living vendors.
  • B. Hippen
  • Medicine
    The Journal of medicine and philosophy
  • 2005
It is argued that a morally defensible market in kidneys from living vendors includes four characteristics: the priority of safety for both vendors and recipients, transparency regarding the risks to vendors and recipient, institutional integrity regarding guidelines for cooperating with kidney vendors, and operation under a rule of law.
Singapore legalises compensation payments to kidney donors
  • Ben Bland
  • Medicine, Political Science
    BMJ : British Medical Journal
  • 2008
Singapore is to change the law to allow kidney donors to be paid compensation, a move that is likely to reignite the debate about how to respond to the global shortage of transplantable organs. The
[The Declaration of Istanbul on organ trafficking and transplant tourism].
  • Brady Webb
  • Medicine, Political Science
    Gaceta medica de Mexico
  • 2009
This Declaration represents the consensus of the Summit participants and is an authorized Spanish translation that will help disseminate this information among Mexican health professionals and interested readers.