Three patterns of voluntary consent in the case of adult-to-adult living related liver transplantation in Japan

Transplantation Proceedings
M FujitaA Akabayashi

Abstract

To elucidate the psychosocial aspects of the donors' decisions to engage in adult-to-adult living related liver transplantation, we interviewed a total of five institutional ethics committee members who had experience with reassessing informed consent prior to surgery. Qualitative analysis revealed several nuances of voluntary consent consisting of three patterns: "unconditional consent" is consent from the bottom of one's heart to save a family member's life; "pressured consent" describes a donor who feels implicit pressure to donate despite fear; and "ulterior-motivated consent" defines a donor who has a hidden motive. This study diverges from previous work in that it employs a qualitative approach to deconstructing the psychosocial intricacies of the informed consent process in adult-to-adult LRLT. This initial study raises several questions on the meaning of voluntary informed consent in adult-to-adult living related liver transplantation.

References

Apr 17, 2001·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·S J CotlerD M Jensen
May 19, 2001·Progress in Transplantation : Official Publication, North American Transplant Coordinators Organization ... [et Al.]·M E OlbrischJ L Levenson
Feb 18, 2003·Transplantation·Vanessa H de VillaChao-Long Chen

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Citations

Apr 8, 2014·World Journal of Surgery·Giuliano Testa
May 19, 2012·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·E J Gordon
Nov 8, 2014·Journal of Medical Ethics·Philippa BurnellHeather Draper
Jun 25, 2013·Reproductive Sciences·Iori KisuDaisuke Aoki
Aug 23, 2011·Transplantation·Nikola Biller-Andorno
Apr 22, 2006·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Misao FujitaKoichi Tanaka
Aug 30, 2020·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·Ya-Ping LinChih-Wan Huang

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