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Curr Opin Organ Transplant. 2012 Apr;17(2):193-7. doi: 10.1097/MOT.0b013e3283510885.

Psychiatric history in living kidney donor candidates.

Author information

1
Department of Psychiatry, School of Medicine, Tokyo Women's Medical University, Tokyo, Japan. knishimura@psy.twmu.ac.jp

Abstract

PURPOSE OF REVIEW:

To critically discuss recent studies of living kidney donor candidates with a past or current psychiatric history and to offer guidance for the psychosocial evaluation of such donors.

RECENT FINDINGS:

A global consensus has been developed that active, significant mental illness and substance abuse are absolute contraindications to organ donation due to diminished ability to make a well informed, rational decision about donation or to maintain health status after donation. However, to date, there has been little information published on the suitability for donation and the long-term psychosocial and medical outcomes after donation in donors with mental health issues, especially relatively milder psychiatric disorders, or past significant psychiatric history.

SUMMARY:

To resolve the ethical dilemma of whether living donor candidates with mental health issues should be allowed to donate as is their right or be considered a vulnerable group in need of protection, we need more information. Information should include careful evaluation, possible intervention and follow-up to optimize donation.

PMID:
22273596
DOI:
10.1097/MOT.0b013e3283510885
[Indexed for MEDLINE]
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