Talk:Organ donation
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This article was the subject of a Wiki Education Foundation-supported course assignment, between 11 January 2022 and 13 April 2022. Further details are available on the course page. Student editor(s): A.Alexander12, Julieseaward (article contribs).
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[edit] This article was the subject of a Wiki Education Foundation-supported course assignment, between 16 January 2019 and 22 May 2019. Further details are available on the course page. Peer reviewers: Shannip.
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Few Citations
[edit]This article has few citations and is filled with vague and subjective statements. — Preceding unsigned comment added by 50.46.94.94 (talk) 02:50, 5 July 2015 (UTC)
removed because of date and no further elaboration on why. — Preceding unsigned comment added by 83.161.151.141 (talk) 00:30, 11 March 2016 (UTC)
Untitled
[edit]The first section in the article needs to be more about who does organ donations and the procedures involved.
Unsubstantiated claim
[edit]When reading the part about the organ short fall, the claim of: "Three-quarters of patients in need of an organ transplant are waiting for a kidney, and more than half of them die before a matching organ becomes available." The second half of that sentence was linked to http://www.ustransplant.org/annual_reports/current/105_dh.htm and unfortunately, I am unable to find that statistic anywhere on that page. Indeed, the data doesn't even hint that that occurs. So I'm taking out the claim that half of them die because it is unsubstantiated and I can't find that statistic anywhere else. Minnyhaha (talk) 21:50, 14 April 2008 (UTC) I think that this is a mis-statement based on two different ideas. First is that 18 people die each day - the second is that half of the 18 people (actually very near 48%) that die are awaiting kidneys. This makes sense as there are so many more kidney patients than any other organ. Good call to pull it. It is not factual. —Preceding unsigned comment added by 12.6.128.8 (talk) 18:08, 26 March 2009 (UTC)
Generally, this page has very few references to support its claims throughout. Unsubstantiated claims abound. Just as an example: the opening paragraph includes this sentence: "As of June 21, 2013, there are 118,617 people waiting for life-saving organ transplants in the U.S. Of these, 96,645 await kidney transplants." But there's no reference provided. Thuvan Dihn (talk) 00:39, 23 July 2013 (UTC)
Organ robbery
[edit]There should be some mention of organ robbery even if to dismiss it. I see in the history that:
- Rumors and legends about "theft" of organs, though, are generally apocryphal.
was removed. Wikipedia should have some information about this, especially the non-apocryphal cases if any.
I am pretty curtain this is an urban legend, so I checked the regular sites:
- Snopes What's the market for spare body parts?: "In addition to renewable resources such as blood, milk, sperm, etc., ... the stuff you can spare that somebody else theoretically could use includes kidneys, bone marrow, liver slices, the odd bit of lung, and corneas."
- Hoaxbusters: "Kidney Harvest" myth
Feel free to work this back into the article.
- Strangely enough, this article claims that it has happened in India. I wonder how this story will turn out when more is known? WhatamIdoing (talk) 01:13, 29 January 2008 (UTC)
Jfk389 (talk) 12:48, 8 April 2016 (UTC): I came across this article on The History Channel Website about Harvard medical students in Colonial Massachusetts taking the bodies of people buried in Boston's North Burying Grounds for research: "Body Snatchers"
Donation by Executed People
[edit]I think the case of Gregory Scott Johnson should be used as a start on a section about the ethics and law on donation by executed people. Spalding 22:11, May 29, 2005 (UTC)
Another case was Jonathan Nobles. He wanted to donate a portion of his liver, but was denied because the lethal injection chemicals damage and contaminate most of the body. [1] --Kevin L'Huillier 18:38, 16 July 2006 (UTC)
too much issues
[edit]This only talks about issues and controversy in most places. It just blabs about criticism and it doesn't even say the basics like if a heart can be transplanted. I am dissappointed in this article.
- How unfortunate. But please realise that an article is only as good as the work of the various contributors who have been willing to share their knowledge and experience. You are welcome to add whatever research you do to this article, so further visitors will not face the same disappointment. JFW | T@lk 10:00, 20 October 2005 (UTC)
- This article is about organ donation. The article about actual transplantaion can be found at Organ transplant. -- kenb215 talk 04:39, 24 December 2006 (UTC)
Not quite
[edit]"Issues surrounding patient autonomy, living wills, and guardianship make it nearly impossible for involuntary organ donation to occur."
This sentence is factually untrue. In Hungary (member of EU and NATO) written law says they can take the organs of a brain-dead person without relative's consent, unless the deceased had ever sent a "non-donor" card to the state authority. However, after one such of untold organ removal case relatives beat up a doctor with baseball bats extremely badly. Since then no hospital dares to take organs without relatives' consent, de facto overruling the written law. 195.70.32.136 17:43, 18 January 2006 (UTC)
Userbox
[edit]If you're a registered organ donor, please feel free to add Template:User organ donor to your userpage. Radagast 02:48, 28 April 2006 (UTC)
- Someone deleted the template without leaving a redirect, breaking lots of user-pages. I added a redirect, but you should really use {{User:Disavian/Userboxes/Organ Donor}} , which looks identical. --BarkerJr 01:26, 12 August 2006 (UTC)
MAJOR BREAKTHROUGH
[edit]The scope of this new breakthrough is simply breathtaking (not the caps locks above). To see it (and to taking too much space on the talk page) go to [[2]]. "The capacity to create organs has huge ramifications for the thousands of people worldwide whose survival depends on transplants - especially heart patients," Professor Morrison, a professor from the Bernard O'Brien Institute of Microsurgery, said today (8/6/06) -- Josh 06:52, 8 June 2006 (UTC)
Organ Donation and Driver's Licenses
[edit]If I knew the laws on organ donation and driver's licenses, I would edit the page and mention them, but as it is, I don't even know whether there are national laws in the US or if they vary from state to state. Are organ donor cards explicitly offered with driver's licenses, or are they just an option that you can go out of your way to get? Maybe I'm asking this page to run before it can walk, but I think it would be very helpful if anyone who had the time could find certifiable information on this.
-Bertoffski
- For California, the organ donor card comes with the driver license. All the donor has to do is affix a pink donor sticker on his or her license to be a organ donor. I'm not sure how it works in other states.
This is no longer true. When I got my new California driver's license, it came with "donor" permanently printed on it. (The old one had the sticker) Camerajohn (talk) 23:56, 27 February 2015 (UTC)
The page (or a new page) should probably mention something about the hoax that having a donor sticker on your drivers license will cause the Paramedics to allow you to die in order to harvest your organs. I was shocked when I first heard this and I know this is completely untrue. Jumping cheese Cont@ct 07:02, 22 December 2006 (UTC)
Organ donation laws vary state by state, but they are all modeled on the Uniform Anatomical Gift Act (UAGA). The UAGA establishes the legal basis for designating oneself as an organ donor, which includes the use of a first person authorization mechanism such as a state DL and online registry. There is a well-written wiki article pertaining to this law. Also uniformlaws.org is a good resource. Typically, state DMV's require license applicants about their donation preferences and a "yes" is recorded in an online registry that can be accessed by specific healthcare personnel involved in organ donation. organdonor.gov spells out this process in great detail for the US Koishi101 (talk) 22:22, 21 July 2017 (UTC)
Financial aspect
[edit]You don't seem to talk about financial aspect of organ donation in the US. I'm french, so I do not have a lot of knowledge about this topic in the United States... What does the law say about financial remuneration in return for a donation? In France, the human organs or "products" (blood, exudes...) are unsaleable. The organ donation is an anonymous and free act. We cannot know who is the donor.
- Financial compensation for organ donation in the US is illegal. Instead, there's a national waitlist that gets updated by computer each time an organ is made available. Some individuals with enough money can bribe doctors to bypass the list. As far as I know, donors cannot choose the recipients. Of course, if someone chooses to be a living donor, their organ generally goes to whoever they designate (family member, friend, etc). MlleDiderot 14:31, 21 November 2006 (UTC)
- What was the original rational for making compensation illegal? When were laws banning compensation put into effect? There has been a lot of talk in the Wall Street Journal recently about changing the laws so that US organ donors can be paid. The push seems to be coming from the transplant industry. Eperotao 17:17, 3 April 2007 (UTC)
- The rationale is that the deceased and/or the deceased's family might be motivated to donate dangerous organs just to get the money. The physicians which handle transplants may not know anything about the patient except "There was a bad motorcycle wreck." In the face of even a few hundred dollars, some families might not choose to reveal that the deceased person had HIV, or cancer, or whatever -- and you'd hate to kill the recipient. 70.137.146.71 00:02, 24 May 2007 (UTC)
- Actually your statement about HIV, or cancer is incorrect. All donors go through a screening process in which lab tests are run. HIV 1&2, HLTV, RPR (Syphilis), Hep B surface antigen, Hep B core, Hep C. Yes, someone organs are transplanted that have HIV or Hepatitis but they are only transplanted to a person with the same. (71.201.115.60 09:19, 6 July 2007 (UTC))
- Here is the UNOS statement for the U.S. at this time: "A handful of medical conditions will rule out organ donation, such as HIV-positive status, actively spreading cancer (except for primary brain tumors that have not spread beyond the brain stem), or certain severe, current infections."[3] This tends to contradict the previous writer's unsourced assertion.
- PHP at UCSF (and other places) has done excellent work with organ transplants into HIV+ people. The problem isn't that it can't be done, but that financial incentives might limit the information you have. The fact remains that there are no quick and wholly reliable tests for dozens and dozens of types of neoplastic disease. You don't want to push family members into saying "Show me the money" when the recipient's life depends on them saying, "Didn't you know he just achieved remission last month for his leukemia?" WhatamIdoing 17:04, 6 July 2007 (UTC)
Donation for transplantion vs. for research
[edit]I've added a passage related to the financial incentive for tissue donation in the United States, but it should not be construed to indicate that in the US the laws around it being illegal to sell organs have changed. Rather, this wikipedia article is almost exclusively written toward transplanation (as noted in the opening paragraph), but there is apparently no comparable article for donation where transplantation is not an endpoint. If there is such an article, where is it? --User:Ceyockey (talk to me) 20:46, 27 March 2011 (UTC)
Spanish law
[edit]Under Spanish law, every corpse can provide organs unless the deceased person expressly rejected it. Nonetheless, doctors ask the family for permission, making it very similar in practice to the United States system.
Ok, Spanish doctors might well ask relatives for their "permission" to have organs donated, but they a. don't need this permission and b. are bound by law to use a dead person's organs for transplanation if they are suitable regardless of the relatives' permission. Therefore the Spanish system is nothing but similar to the United States system. Themanwithoutapast 21:59, 26 November 2006 (UTC)
- If you have a source for your second point, I'd love to see it. I was about to start work on a Spanish transplant article, and that would be very useful. By the way, the edits adding references for the spanish section are mine. I forgot to log in. Verloren Hoop 21:46, 13 February 2007 (UTC)
- The BBC supports the idea that relatives can refuse consent but doesn't mention the legal issues [4] Nil Einne 16:10, 17 July 2007 (UTC)
Contradiction
[edit]This article contradicts the Pancreas transplantation article in that this article states that partial pancreas transplants can take place from a living person, and the Pancreas transplantation article explicitly states that one cannot live without their pancreas, and that donation is from someone who just died. --BsayUSD [Talk] [contribs] 17:19, 23 June 2007 (UTC)
- I think the key word is "partial". Under Pancreas transplantation#History, the article says that in "1979 the first living-related partial pancreas transplantation was done." --Kyoko 19:48, 23 June 2007 (UTC)
- I clarified the pancrease transplantation article to make it clear in the intro a partial transplant was possible and removed the contradict tag as it was not true Nil Einne 16:15, 17 July 2007 (UTC)
Cloning
[edit]This sounds like it was written by the typical commentator that has no idea what they're talking about
- Further, the use of cloning to produce organs with an identical genotype to the recipient has issues all its own. Cloning is still a controversial topic, more so when the clone is created with the express purpose of being destroyed for harvesting.[citation needed] While the benefit of such a cloned organ is a zero-percent chance of transplant rejection, the ethical issues involved with creating and killing a clone may outweigh these benefits.
What is it trying to talk about? I've never seen anyone seriously suggest we clone human to harvest organs. Other then the fact this won't be particularly successful (since you need to wait many years for the organs to be of a suitable size, only people who don't understand cloning talk about clones as if they're not unique individuals. A fully cloned human is a unique individual. If on the other hand it's talking about some sort of organ cloning (which is a field with only limited success) then this is rather different and if you're cloning an organ, it's an organ, not a clone. And you're not going to kill the cloned organ because that would defeat the purpose. Cloning is indeed controversial but if we're going to discuss it we need to at least make sense Nil Einne 16:28, 17 July 2007 (UTC)
Trade and financial exploitation
[edit]The article mentions the trade and financial exploitation arguments but surprisingly fails to mention the issue of middlemen and how it's sometimes claimed that they make most of the money. I might add it myself but I'm lazy to look for references Nil Einne 16:51, 17 July 2007 (UTC)
Down 40% Because of Horror Movie
[edit]In the board game "urban myth" it states that organ donation went down 40% in the US because of a horror movie that showed people being killed for their organs. It also stated that this was not a myth, but true. I don't know what the movie's title was. Should this be stated in the article?
Lukewarm and proud,
LOOKIE MILK! (talk) 20:19, 7 February 2008 (UTC)
- It's not verifiable, so it shouldn't be included. WhatamIdoing (talk) 19:55, 8 February 2008 (UTC)
Organ trade and organ donation
[edit]Article should be split to expand the article organ trade. This is needed as several ethical, legal and illegal issues are being mixed in the article, giving somewhat a negative aspect to the word "donation". Kindly comment what could be done? --STTW (talk) 14:49, 6 March 2008 (UTC)
Table
[edit]I've been working on a table for wait list sizes. You can see it at User:WhatamIdoing/Sandbox (for now, at least). There are a few blanks that need to be filled in. Also, it would be nice to also list these numbers by "people waiting per million" to account for the substantial differences in population size. France provides these numbers pre-calculated at the listed source, and the missing Spanish numbers are missing because they're only given this way.
I've thought about flipping the orientation (organs across, and countries down), because it would make it easier to expand, but doing that by hand is a lot of tedious work.
Please feel free to insert the missing numbers directly into the draft. If you have thoughts or comments, please leave them on this page (so everyone will see them). Thanks, WhatamIdoing (talk) 20:33, 30 April 2008 (UTC)
Legislation
[edit]The legislative framework section has a vast amount of unsubstantiated claims. To draw one example, there is a claim that countries with opt out systems have no waiting lists. This has no source, and I have read items that refute this claim. It needs a great deal of fixing/pruning in my opinion. —Preceding unsigned comment added by 203.10.103.34 (talk) 02:51, 3 July 2008 (UTC)
Scandals
[edit]Just wondering whether the paragraph talking about doctors screening a person's organs before his/her death is actually a scandal or just a policy. On the other hand, that paragraph seems to be based on the Spanish case while the reference use (29) doesn't mention Spain at all. --Abraham (talk) 18:00, 10 September 2008 (UTC)
- It looks misplaced. Perhaps it belongs to the previous section? Feel free to move it to a place that you think is best. WhatamIdoing (talk) 20:06, 10 September 2008 (UTC)
- Ok, moved! I also removed the references, I don't think they were related to the topic (maybe the original author meant to include a different one?). --Abraham (talk) 16:08, 15 September 2008 (UTC)
The refs support the statements made and should be replaced. See
In some cases, OPO representatives request tests, such as HIV screening, of a patient without obtaining family members' consent, or ask doctors to administer blood pressure drugs or other medication to keep a possible donor's organs viable until their suitability can be determined and the family consent can be obtained.
and
Most hospitals now have detailed criteria that automatically trigger a call to the local OPO within the first hour after a potential donor is identified.
The only think this article doesn't mention is that this happens in Spain. WhatamIdoing (talk) 18:33, 15 September 2008 (UTC)
- Well, I guess it's a matter of interpretation. The article does say "Most hospitals [...]" and so, but doesn't mention which country's hospitals; every stated example is located in the US (Sierra Vista Regional Medical Center in San Luis Obispo, Calif., University of Pittsburgh Medical Center, Meriter Hospital in Madison, Wis., just to mention some) and the publisher is also american (The Washington Post), which altogether suggests the article is talking specifically about the US system. That doesn't support a statement like particularly in countries with an integrated and proactive organ network, like Spain so either should it be rephrased or reference not used. --Abraham (talk) 11:22, 18 September 2008 (UTC)
- I've restored the text, without mentioning Spain (although I'd be surprised if the Spanish system, or any halfway decent system, didn't do whatever was reasonably useful and had no risk of any harm to the dying patient). WhatamIdoing (talk) 03:58, 19 September 2008 (UTC)
- I agree, I'll try to look for some references which demonstrate these practices are held in Spain (can't promise anything though). --Abraham (talk) 12:32, 26 September 2008 (UTC)
- I've restored the text, without mentioning Spain (although I'd be surprised if the Spanish system, or any halfway decent system, didn't do whatever was reasonably useful and had no risk of any harm to the dying patient). WhatamIdoing (talk) 03:58, 19 September 2008 (UTC)
External links
[edit]User:Ombudsman has recently insisted upon the inclusion of an external link to Donate Life America. This is presumably of no value (or remarkably little value) to any person outside the United States.
- No page should be linked from a Wikipedia article unless its inclusion is justifiable.
- ...one should avoid: 1. Any site that does not provide a unique resource beyond what the article would contain if it became a Featured article.
I invite Ombudsman to list his/her justifications for including another US-specific website, and to identify the unique resources that this website makes available to all of our readers (not just the US readers). WhatamIdoing (talk) 03:37, 22 September 2008 (UTC)
WHO Observatory
[edit]I suggest adding this WHO site, based in the Spanish ONT, to the external links: http://www.transplant-observatory.org This Council of Europe newsletter on the site has data for 2007, more eup-to-date than those cited: http://www.transplant-observatory.org/C5/News%20ONT/Document%20Library/newsletter2008.pdf Note also that the Spaniards deny that presumed consent is responsible for their high donor rate. In a downloadable survey document (http://elmodeloespanol.ont.es/modeloespanol.pdf) they state that in practice family consent is required. They put their high donor rate down to better organization, and in particular having a trained doctor within each hospital ICU as part-time transplant coordinator.
--JamesWim (talk) 22:34, 17 November 2008 (UTC)
- You know, the best possible thing to do would be for you to put that information directly into the article, using that link as a <ref>proper reference</ref>. Then the reader would actually get an accurate understanding of the situation. WhatamIdoing (talk) 19:24, 19 November 2008 (UTC)
Facts and Figures
[edit]This link [5] has some facts and figures in it at the bottom that you might want to add to the article. - ARC GrittTALK 01:23, 4 February 2009 (UTC)
Japanese laws
[edit]There's a news story here about proposed changes to Japan's highly restrictive organ donation rules. This might be appropriate information for this article, and also help globalize it away from its "Spain vs United States" tendencies. WhatamIdoing (talk) 18:20, 11 June 2009 (UTC)
Hootan Roozrokh
[edit]Hootan Roozrokh was found not guilty in his case. Can't find a good source right now but I saw it on Dateline. 98.204.199.107 (talk) 01:36, 27 January 2010 (UTC)
I
[edit]I have always wondered, if you donate an organ to someone else, does that mean that you have a chance of dying? Or is it that you never risk death by donating an organ? Basically, when you donate an organ to someone, does that mean you will certainly die? —Preceding unsigned comment added by 122.109.239.100 (talk) 12:46, 2 April 2010 (UTC)
- I don't understand your question. If you are already dead at the time of donation, then organ donation cannot make you any "more dead". If you are a living donor, then there is a very small chance that the surgery to remove the organ will accidentally kill you. (You might be allergic to the anesthesia, for example.) This risk is about the same as it would be for any other similar surgery.
- As for whether you will "certainly die", it's generally accepted that humans aren't immortal, and thus you will certainly die someday, regardless of your choices about organ donation. WhatamIdoing (talk) 22:46, 29 June 2010 (UTC)
Map of Opt-in Opt-out World-wide?
[edit]I think it would be nice for the reader if there was a map of countries showing whether they opperate some form of an opt-in or opt-out system. Just to give a visual aid that would also be interesting as a means to comparing the situation globally. —Preceding unsigned comment added by 158.169.9.14 (talk) 06:40, 1 August 2010 (UTC)
Damanik
[edit]I removed the following. It made no sense. If I find a source for this info, I may add it back in, heavily reworded.
- Upon sentence, both would suffer each, 12 months in jail or 10,000 Singapore dollars (7,300 US) fine.[1][2]
YellowAries2010 (talk) 23:31, 30 November 2010 (UTC)
Incorrect thinking in opt-in/out-section?
[edit]I don't understand the relevance of the following:
Some countries with an opt-out system like Spain (34 donors per million inhabitants) or Austria (21 donors/million) have high donor rates and some countries with opt-in systems like Germany (16 donors/million) or Greece (six donors/million) have lower rates. However Sweden, which has an opt-out system, has a low rate as well (15 donors/million).
Surely it would be better to look at the proportion of citizens who are registered as donors, or the number of deaths which are caused by lack of organs, rather than how many donors there are per million people? The fact that there are only 15 donors/million in Sweden might be due to other factors, such as lack of demand for organs or inefficient practices in the harvesting of organs.
Also, what do those figures actually mean? 15 instances of organ donation per million citizens? RandomLettersForName (talk) 18:38, 25 July 2011 (UTC)
Greece has now an opt-out system for organ donation. 46.12.203.23 (talk) 05:45, 21 September 2012 (UTC)
- Another point about Opt-in/Opt-out: The definition itself, as it stands, is ambiguois at least for the Opt-out; ask few people what might Opt-out mean and the answer might come back, using just logic with reference to organ donation, that the person does not want to donate. The article page has used opt-in opt-out consistently as intended by the initiator of the notion of Opt-in Opt-out except some confusion is, possibly, noted in here in this section
- http://en.wiki.x.io/w/index.php?title=Organ_donation&action=edit§ion=11 .. just see the article section 11 Brain death versus cardiac death - gives basic concept
- http://en.wiki.x.io/w/index.php?title=Organ_donation&action=edit§ion=2 .. just see the article section 2 Opt-in vs. opt-out confusion about Opt-out
- Appropriate clarification of above is needed
Patelurology2 (talk) 15:33, 6 January 2013 (UTC)
Brain death versus cardiac death
[edit]This section seems highly inaccurate:
Most organ donation for organ transplantation is done in the setting of brain death. In some nations (for instance, Belgium, Poland, Portugal and France) everyone is automatically an organ donor, although some jurisdictions (such as Singapore, France, or New Zealand) allow opting out of the system. Elsewhere, consent from family members or next-of-kin is required for organ donation.
Belgium has an opt-out system, and even when the deceased has a donor card, objections from family are taken into account by hospitals, for the simple reason that the medical community does not want bad publicity that would put the present law into question.
Why is this even mentioned in this section? It's already addressed elsewhere in the article.
Also, in the legislation section under Europe, it reads: the most prominent and limited opt-out systems ... What is meant by "limited"? DS Belgium (talk) 12:34, 2 October 2011 (UTC)
NPOV
[edit]The teleological issues section in particular lacks citations or multiple points of view. It reads like a single person has written their opinion. Would benefit from editors knowledgeable in ethics to paint a debate here. — Preceding unsigned comment added by 82.0.205.245 (talk) 10:23, 13 February 2012 (UTC)
- I work for the Nuffield Council on Bioethics, a UK-based independent charitable body which recently published the report 'Human bodies: donation for medicine and research'. Included in this is a broad outline of ethical debates and examples of ethical dilemmas arising in the context of donation of bodily material (see Chapter 4 http://nuffieldbioethics.org/sites/default/files/files/Donation_Chapter4_Debates_over_ethics.pdf). Bearing in mind my declaration of interest, would the community be comfortable with me proposing some edits here drawing on (and referencing) this report? Alternatively (and probably better), perhaps someone would be interested in having a look at the link above and see if they think it can help inform this section? RanveigSB (talk) 16:31, 17 July 2012 (UTC)
Organ donation in the United States prison population
[edit]I made a new article, Organ donation in the United States prison population, which uses text from this article. Although I think a section here devoted to organ donation from prisoners is a good idea, this article currently only mentions US prisoners. If you are looking for more countries to mention, China has a notable practice of taking the organs from all executed prisoners, and executing them via a gunshot to the head which is much more effective for organ donation than lethal injection. Several other nations have varying policies that could be mentioned as well. Nonetheless I went ahead and created an article just for the US, because I didn't want to include a bunch more US-centric information to this article.AioftheStorm (talk) 22:23, 21 September 2013 (UTC)
Suicide
[edit]This section needs some adjustment. The text of 'One reason is lower negative response or refusal rate by the family and relatives' needs deleting. Family, relatives may not be required, and in some countries organs can be taken without consent.
Renaming the document to US/EU/AU Organ donation may help as there is an issue legally validating suicide. Most western government countries have organ donors live out their lives in jails or poverty; resulting in their own need for transplant that may or may not be met given society and commercial interests. A few Eastern and Other forms of Governments may execute those in jails to prevent issues and will site reasons like suicide (if they can) when selling the organs to wealthy western and eastern consumers. Fact is all Governments lie and will attempt to distance them selves from things like war crimes/murders/spying unless they really get caught for it.
With the advent of Mentalhealth to excuse Government failure and allow those who can afford $1.5m homes to buy 10 more; the organs collected from suicidal persons after death may be contaminated due to perscribed drugs. Disease risks for manufactured drugs are not disclosed to clients of Mentalhealth as part of the abuse clients of Mentalhealth experience on a day to day basis (some do have a low IQ but that is no excuse for neglecting to inform of increase disease risks, adverse affects, and reaction).
Is it Negative response or Negative feedback? Negative response could also mean no reply was made, as in denial (they will get well again)? — Preceding unsigned comment added by 124.183.153.112 (talk) 14:40, 27 November 2013 (UTC)
The section for India is waaaaaaay too long.
[edit]There is no need for so much information relative to the other regions. Europe as a whole only gets about a fifth or so of India's section. Can it be cut down? What do you think? Lythronaxargestes (talk) — Preceding undated comment added 18:37, 21 April 2015 (UTC)
External links modified
[edit]Hello fellow Wikipedians,
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- Added archive https://web.archive.org/20090413210405/http://ethical-solutions.org:80/62/solving-the-organ-shortage.html to http://ethical-solutions.org/62/solving-the-organ-shortage.html
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Consent Process
[edit]The section on the consent process is very short and could use some grammatical improvement as long as some additional information. Perhaps some information could be added on the specific consent process of other states and other countries. For instance, when teenagers register for their drivers license in Michigan at the Secretary of State at age sixteen, they have the option to personally consent to becoming an organ donor, which I had experienced first hand upon registering for my license. It could also shed light on the consent process of deceased, such as the Human Tissue Authority Code of Practice that requires valid forms and legal consent for deceased or disabled patients.[3] I notice that consent is mentioned often throughout the article, so perhaps this section, if not improved, is unnecessary altogether.
Other than that, the article includes several sources and information on different cultural and religious views on the topic of being an organ donor. However, the sections on Brazil and Israel, while containing significant information, are significantly small sections, with only one or two sentences and could use some more information. Mastejma (talk) 00:27, 2 February 2016 (UTC)
Intensive care perspective
[edit]Review in Intensive Care Medicine doi:10.1007/s00134-015-4191-5 JFW | T@lk 12:01, 18 February 2016 (UTC)
Notes
[edit]Below is a reference list of sources I intend to pull information from to make edits to this article.
[1]
This is a scholarly article from the Oxford journal. It is unbiased, and states facts about organ donation consent and policies in the United Kingdom.
[2] This is an online text book, ideally for nursing students, about organ donation and organ donors. It contains a large amount of information on the topic, and includes several other references as well.
[3] This source is an online text book that refers to the importance of organ donation. It sheds light on the governmental works and policies that go into the process of organ donation.
[4] This online textbook discusses much of what is discussed in this course; how life and death are perceived through different beliefs and morals.
[5] This is a scholarly article that discusses how organ donor transplantation and consent policies are today, and their future improvement.
User:Mastejma Mastejma (talk) 23:52, 22 February 2016 (UTC)
References
- ^ BJA. Consent for Organ Donation. Oxford University Press, 2012. Web. 22 Feb. 2016.
- ^ Saidi, Reza F. Organ Donation And Organ Donors : Issues, Challenges And Perspectives. New York: Nova Science Publishers, Inc, 2013. eBook Nursing Collection. Web. 22 Feb. 2016.
- ^ Grinkovskiy, Petr T. Organ Donation: Supply, Policies and Practices. New York: Nova Science, 2009. Internet resource.
- ^ Loewy, Erich H, and Roberta S. Loewy. The Ethics of Terminal Care: Orchestrating the End of Life. New York: Kluwer Academic/Plenum Publishers, 2002. Internet resource.
- ^ Centre for Clinical Practice at NICE (UK). "Organ Donation for Transplantation." National Center for Biotechnology Information. U.S. National Library of Medicine, Dec. 2011. Web. 22 Feb. 2016.
Article Lead Section
[edit]Organ donation is defined as the process of removing organs from one body and transplanting them into another[1]. In some cases, the subject donating organs is recently deceased, and has given permission for their organs to be donated to someone else in need. Dr. Joseph Murray and Dr. David Hume led the first successful kidney transplant on December 23, 1954 at the Brigham Hospital in Boston between two living-patients. Later, in 1962, Dr. Murray and Dr. Hume accomplished yet another successful kidney transplant; however between a deceased body, and a living patient[2]. Today, organ donation has been accepted around the world as a medical practice for patients experiencing organ failure. According to the US Department of Health and Human services, on average, 79 people receive an organ transplant everyday; on the other hand, 22 lives are taken everyday to patients on waiting lists due to shortage of organs[3]. Globally, Spain has the largest population of opt-out registered donors, with Sweden as the next largest.
Consent is defined as adhering to an agreement of principals[4]. However, this definition is hard to enforce in accordance with organ donation because, in most cases, organs are donated from the deceased, and can no longer provide consent for themselves. Countries have incorporated legal forms and policies in order to help regulate this issue with consent. For example, Scotland conforms to the Human Tissue Authority Code of Practice, which grants authority to donate organs, instead of consent of the individual[5]. There are several different systems countries use in order to determine consensual issues concerning organ donation.
Opt-out consent, otherwise known as "deemed" consent, refers to the notion that the majority of people support organ donation, but only a small percentage of the population are registered. For this reasons, countries, such as Wales, have adopted a "soft opt-out" consent, meaning if a citizen has not clearly made a decision to register, than they will be treated as a registered citizen and participate in the organ donation process[6]. Likewise, opt-in consent refers to the consent process of only those who are registered to participate in organ donation. Currently, the United States has an opt-in system, but studies show that countries with an opt-out system save more lives due to more availability of donated organs. Registering to become an organ donor heavily depends on the attitude of the individual; those with a positive outlook might feel a sense of altruism towards organ donation, while others may have a more negative perspective, such as not trusting doctors to work as hard to save the lives of registered organ donors. The UK has several different laws and policies for the organ donation process, such as consent of a witness or guardian must be provided to participate in organ donation[5].
Mastejma (talk) 01:09, 1 March 2016 (UTC)
References
- ^ "Organ Donation Facts & Info | Organ Transplants | Cleveland Clinic". my.clevelandclinic.org. Retrieved 2016-02-29.
- ^ "History of Organ Donation & Transplants | LiveOnNY". www.liveonny.org. Retrieved 2016-02-29.
- ^ "organdonor.gov | The Need Is Real: Data". www.organdonor.gov. 2011-05-25. Retrieved 2016-02-29.
- ^ "the definition of consent". Dictionary.com. Retrieved 2016-03-01.
- ^ a b Vincent, A.; Logan, L. (2012-01-01). "Consent for organ donation". British Journal of Anaesthesia. 108 (suppl 1): i80–i87. doi:10.1093/bja/aer353. ISSN 0007-0912. PMID 22194436.
- ^ "Organ Donation Wales". organdonationwales.org. Retrieved 2016-03-01.
{{cite web}}
: Text "FAQs" ignored (help)
Taken out of lead
[edit]I removed this sentence from the lead: "Such procedures are termed allotransplantations, distinguish them from xenotransplantation, the transfer of animal organs into human bodies." I don't think there's a high risk for misinterpreting those two things here and the jargon interrupts the flow and makes it hard to follow, so I think this passage should be moved to the body, but I didn't see an obvious place to put it, so I'm dropping it here for now. —PermStrump(talk) 12:05, 30 July 2016 (UTC)
- good idea, the body of the article needs a lot of work--Ozzie10aaaa (talk) 15:46, 30 July 2016 (UTC)
I just removed the rest of the stuff about aborted babies:
In the same year [2105], researchers from the Ganogen Research Institute transplanted human fetal kidneys from therapeutic abortions, including from fetuses with anencephaly, into animals for future transplantation into human patients.[1] The animals were able to survive on the human kidney alone, demonstrating both function and growth of the human organ.[2]
I think that there's probably a point to be made here, but it doesn't belong in the lead. The point is probably either "aborted fetuses can be organ donors, too" or "someday, we won't need as many adult donors, because we can just grow what we want". For example, this could fit reasonably with something about efforts to grow organs in labs, if that's covered.
More generally, I'm wondering whether there's anything to be said about efforts to reduce the mismatch by reducing the demand (e.g., better treatment of diabetes and hypertension). WhatamIdoing (talk) 21:10, 6 August 2016 (UTC)
A few questions/pointers for this article
[edit]What are you sources that have given you this information? I would really like to see some sources in this article to be able to verify the information is correct and to be able to use it.
What sort of organs can the living donate before they die?
What happens if someone dies prematurely, but they’ve talked about wanting to donate? Can their parents consent to donating their organs?
Kelsimeghan (talk) 02:32, 31 January 2017 (UTC)
External links modified
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Opt-in versus opt-out
[edit]The cited number of 99.98 % in Austria appears to be wrong. The number is anyway impressively high, but 99.75% appears to be closer to truth. About 25.000 Austrians are currently registered to have refused consent. See here: https://www.srf.ch/news/international/oesterreich-jeder-ein-potenzieller-organspender --Kajjo (talk) 09:06, 13 September 2018 (UTC)
List of brain banks
[edit]Would it be a good idea for a Wikipedia article to create a list of brain banks? I found this old list that could form the start. Where I live there is simply one brain bank for the entire country but that doesn't seem to be the case elsewhere. 1Veertje (talk) 18:30, 16 January 2020 (UTC)
User:1Veertje, I support the idea of you making a separate article.--Annemaricole (talk) 17:53, 8 March 2021 (UTC)
citation needed
[edit]"However, it may be possible in the future to use cloned stem-cells to grow a new organ without creating a new human being. "
used to have a citation needed tag. I removed it. I am inexperienced however. Isn't it excessively obvious that growing an organ is maybe possible in the future? Like 1 + 1 = 2. Like saying "However, it may be possible in the future human beings may step on mars." Also, how would one cite a source on this? Similar to, how would one cite that humans breathe? --Annemaricole (talk) 17:51, 8 March 2021 (UTC)
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