Kidney transplantation and HIV: does recipient privacy outweigh the donor's right to information?
OBJECTIVE
There exists an inherent conflict between a kidney donor's right to know key aspects of a recipient's medical history and specific disease, such as HIV, where federal and state statues protect this information. The authors of the live organ donor consensus group expressly stated the principal of a donor's right to recipient information. This information includes the risks and benefits of not only the donation procedure, but also the risks, benefits, and alternative treatment options of the recipient. In this paper, a case will be presented highlighting this conflict and the ethical and legal reasoning used to resolve it.


METHODS
A 22-year-old woman came forward as a directed kidney donor for an HIV-positive individual. The donor and recipient were medically appropriate for kidney donation and transplantation. During the donor advocacy panel review, there was disagreement regarding whether or not the potential donor had the right to know about the HIV status of the potential recipient.


RESULTS
In living kidney transplantation to HIV-positive individuals, the recipient's right to privacy of information outweighs the donor's right to know.


CONCLUSIONS
Although protecting the recipient's right to privacy is paramount, the donor is still entitled to consider factors a priori that could alter their decision to donate. This can be accomplished by informing the donor that they are not entitled to protected health information of the recipient and that their decision to donate should be based on knowing the recipient is medically appropriate for kidney transplantation.
Formica
Richard N
RN
Yale University School of Medicine, Department of Medicine, Section of Nephrology, Boardman 124, PO Box 208029, 330 Cedar Street, New Haven, CT 06520-8029, USA. richard.formica@yale.edu
Asch
William S
WS
Wagner
Krystn R
KR
Kulkarni
Sanjay
S
D003219:Confidentiality / Q000941:ethics* / Q000331:legislation & jurisprudence; D003220:Conflict, Psychological; D033001:Directed Tissue Donation / Q000941:ethics* / Q000331:legislation & jurisprudence; D005260:Female; D033161:Government Regulation; D015658:HIV Infections / Q000150:complications*; D006291:Health Policy; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications / Q000601:surgery*; D016030:Kidney Transplantation / Q000941:ethics* / Q000331:legislation & jurisprudence; D014019:Tissue Donors / Q000941:ethics* / Q000331:legislation & jurisprudence; D014342:Truth Disclosure / Q000941:ethics*; D014481:United States; D055815:Young Adult