ABSTRACT
Brazil has established the largest public kidney transplantation system in the world .46.2% of transplants in 2008 came from living donors. The vast majority of these involved relatives of the recipient; less than 8% came from unrelated donors. In 2008, Brazil's health minister proposed banning unrelated donors in kidney transplantation. A large number of the over 35,000 Brazilians on the waiting list for a kidney would be denied a transplant without the use of unrelated donors. Brazilian culture has a unique feature, the "informal family", that is not legally recognised as a "family entity and is bound by affection rather than genetic or legal ties. It is vital that Brazil establishes a regulated, standardised, and ethical system of organ procurement; creates awareness about transplantation in physicians and the public; upgrades facilities and standardises medical care, and enforces legislation for transplantation. However, outlawing the use of unrelated donors would result in injustice for many patients who seek kidneys.
Subject(s)
Kidney Transplantation/ethics , Living Donors/ethics , Living Donors/legislation & jurisprudence , Tissue and Organ Procurement/ethics , Tissue and Organ Procurement/legislation & jurisprudence , Brazil , Health Care Sector/ethics , Health Care Sector/legislation & jurisprudence , HumansABSTRACT
This is a translation into Spanish, done by Mario Uribe, M.D., F.A.C.S., and authorized by the Conference Organization, of the official statements signed by The Transplantation Society, The International Society of Nephrology and the representatives who participated at a WHO sponsored Conference held in Istambul, Turkey, April 30 to May 2, 2008.
Subject(s)
Living Donors , Organ Transplantation , Tissue and Organ Procurement , Humans , Living Donors/ethics , Living Donors/legislation & jurisprudence , Living Donors/supply & distribution , Organ Transplantation/ethics , Organ Transplantation/legislation & jurisprudence , Tissue and Organ Procurement/ethics , Tissue and Organ Procurement/legislation & jurisprudence , Translations , Turkey , World Health OrganizationABSTRACT
AIM: The aim of this study was to analyze the evolution of the legal framework, health system of donation, and transplantation of cells, tissues, and organs, measured based on processes and rates from 1978 to 2008 in Uruguay. MATERIALS AND METHODS: We analyzed 3 decades (1978-1988/1989-1998/1999-2008) by the following evaluation: the legislation, donation and transplantation system, procurement, registration of pre-state of voluntary donations, actual donations and transplantation rates of solid organs (kidneys, heart, liver, and pancreas), and rates of donation and transplantation of tissues (corneal and laminar [skin, amniotic membrane, and fascialata]), of cardiovascular elements (valves and vases), and of ostearticular tissues (bones and tendons). RESULTS AND CONCLUSIONS: Uruguay has maintained continuous governmental politics in donation and transplantation. In the last decade the elaboration of a strategic plan by promoting Laws and Decrees of Encephalic Death, Presumed Donation and Security of Cells and Tissues, as well as the creation of the Unit Procurement, the registration of nonrelated donors for hematopoietic stem cells, and the re-engineering of tissue banking, has shown a significant increase in deceased donation and cadaveric transplantation, reaching the first highest overall donor rate in Latin America with 24/pmp multiorgan donors.
Subject(s)
Organ Transplantation/statistics & numerical data , Tissue and Organ Procurement/statistics & numerical data , Government Agencies , Humans , Living Donors/legislation & jurisprudence , Living Donors/statistics & numerical data , Organ Transplantation/legislation & jurisprudence , Organ Transplantation/trends , Tissue Banks/statistics & numerical data , Tissue and Organ Procurement/legislation & jurisprudence , Tissue and Organ Procurement/organization & administration , Tissue and Organ Procurement/trends , Uruguay/epidemiologyABSTRACT
This is a translation into Spanish, done by Mario Uribe, M.D., F.A.C.S., and authorized by the Conference Organization, of the official statements signed by The Transplantation Society, The International Society of Nephrology and the representatives who participated at a WHO sponsored Conference held in Istambul, Turkey, April 30 to May 2, 2008.