The Rationale for Incentives for Living Donors: An International Perspective?

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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 consequence, worldwide, has been the development of unregulated markets for donation; these markets have been associated with poor outcomes for both donors and recipients. In contrast, a regulated system of incentives might increase donation rates while also providing a benefit to donors. Criteria for an acceptable system have been proposed: protection of the donor and recipient, regulation, transparency, and oversight. Many of the concerns about the implications and impact of such a system could be answered with a clinical trial in a country (or countries) that can meet the described standards. Yet the debate about the advisability of developing such a system continues, even as the waiting lists grow and candidates die while waiting.

Original languageEnglish (US)
Pages (from-to)44-51
Number of pages8
JournalCurrent Transplantation Reports
Issue number1
StatePublished - Mar 1 2015

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© 2015, Springer International Publishing AG.


  • Regulated system incentives for living donation


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