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Ethical Aspects of Kidney Donation and Transplantation for Migrants

journal contribution
posted on 2023-02-08, 22:44 authored by Dominique MartinDominique Martin, RAS Fadhil, A Więcek
Summary: Migrants represent a large and diverse population globally that includes international refugees, stateless persons, expatriate workers, and more. Many migrants face significant barriers in accessing health care, especially scarce and costly resources such as dialysis and kidney transplantation. Improving equity of access to these kidney replacement therapies for migrant populations may present a range of complex ethical dilemmas, particularly in the setting of crises and when considering the use of residency status and citizenship as eligibility criteria for access to treatment. In this article, we discuss ethical obligations to provide kidney care for migrants, the implications of the self-sufficiency concept with regard to access to deceased donation and transplantation, factors that may influence evaluation of the risks and benefits of transplantation for migrants with insecure access to care, and the vulnerability of migrants to organ trafficking. We also present a set of general recommendations to assist in preventing and managing ethical dilemmas when making decisions about policy or practice regarding kidney care for migrants.

History

Journal

Seminars in Nephrology

Article number

151271

Pagination

151271-151271

ISSN

0270-9295

eISSN

1558-4488

Language

en

Publisher

Elsevier BV