Starting a crossover kidney transplantation program in the Netherlands: ethical and psychological considerations.

摘要: On April 15th, 2003, the first crossover kidney transplantation took place in The Netherlands. In September of same year, a national database was established to facilitate exchange between two donor-recipient couples. During 2004, kidneys from living donors will be exchanged seven university medical centers One conditions for successfully implementing this program need address ethical and psychologic implications involved. article we discuss considerations that are accompanying practical preparations Dutch program. We identified five topics interest: influence "donation by strangers" on motivation willingness donor-patient couples, issue anonymity, loss possibility "medical excuses" unwilling donors, view is step commercial organ trade, interference with existing donation programs. concluded whether viewed separately or combination, these issues do not impede efficient organization raise worrying issues.