title: Misattributed paternity in a living related donor: to disclose or not to disclose?
abstract: Many ethical considerations surround living kidney donation, some of which are not anticipated. We present a case in which misattributed paternity was inadvertently discovered during the workup of a father and son and present arguments for and against disclosure of this information. We recommend that transplant programs advise patients participating in living organ donor programs that misattributed paternity might be discovered during routine preoperative testing and that protocols for dealing with complex ethical issues be in place.
authors.affiliation: Department of Urology, Eastern Virginia Medical School, Norfolk, Virginia 23510, USA.
authors.forename: Douglas W
authors.initials: DW
authors.lastname: Soderdahl
authors.forename: Danny
authors.initials: D
authors.lastname: Rabah
authors.forename: Thomas
authors.initials: T
authors.lastname: McCune
authors.forename: John
authors.initials: J
authors.lastname: Colonna
authors.forename: Roland
authors.initials: R
authors.lastname: French
authors.forename: Edwin
authors.initials: E
authors.lastname: Robey
authors.forename: Michael D
authors.initials: MD
authors.lastname: Fabrizio
mesh_terms: D000328:Adult; D006680:HLA Antigens / Q000235:genetics; D006801:Humans; D007258:Informed Consent / Q000941:ethics; D007676:Kidney Failure, Chronic / Q000601:surgery; D016030:Kidney Transplantation / Q000941:ethics*; D019520:Living Donors / Q000941:ethics* / Q000523:psychology; D008297:Male; D008875:Middle Aged; D010287:Parent-Child Relations; D010334:Paternity; D010342:Patient Acceptance of Health Care; D010817:Physician-Patient Relations; D014342:Truth Disclosure
chemical_list: D006680:HLA Antigens