title: Pediatric deceased donor renal transplantation: An approach to decision making II. Acceptability of a deceased donor kidney for a child, a snap decision at 3 AM.
abstract: Allocation of deceased donor kidneys is based on several criteria; however, the final decision to accept or reject the offered kidney is made by the potential recipient's transplant team (surgeon/nephrologist). Several considerations including assessment of the donor quality, the HLA match between the donor and the recipient, several recipient factors, the geographical location of the recipient, and the organ all affect the decision of whether or not to finally accept the organ for a particular recipient. This decision needs to be made quickly, often on the spot. Maximizing the benefit from this scarce resource raises difficult ethical issues. The philosophies of equity and utility are often competing. This article will discuss the several considerations for the pediatric nephrologist while accepting a deceased donor kidney for a particular pediatric patient.
authors.affiliation: Department of Pediatric Nephrology, Stanford University, Stanford, CA, USA.
authors.forename: Abanti
authors.initials: A
authors.lastname: Chaudhuri
authors.affiliation: Department of Surgery, Stanford University, Stanford, CA, USA.
authors.forename: Amy
authors.initials: A
authors.lastname: Gallo
authors.affiliation: Department of Pediatric Nephrology, Stanford University, Stanford, CA, USA.
authors.forename: Paul
authors.initials: P
authors.lastname: Grimm
mesh_terms: D002648:Child; D000066491:Clinical Decision-Making / Q000941:ethics / Q000379:methods*; D046148:Donor Selection / Q000941:ethics / Q000379:methods* / Q000458:organization & administration; D015276:Health Care Rationing; D006297:Health Services Accessibility / Q000941:ethics / Q000458:organization & administration; D006801:Humans; D007676:Kidney Failure, Chronic / Q000601:surgery*; D016030:Kidney Transplantation / Q000941:ethics / Q000379:methods*; D009398:Nephrology / Q000941:ethics / Q000379:methods; D010372:Pediatrics / Q000941:ethics / Q000379:methods; D014019:Tissue Donors; D020858:Tissue and Organ Harvesting / Q000379:methods; D014481:United States
keywords: acceptability of donor kidney; deceased donor kidney; pediatric renal transplantation