title: Ethical and legal issues in renal transplantation in Nigeria.
abstract: With the increasing number of patients being offered kidney transplantation by many centers in the developing world, it is not unexpected that there would be attendant ethical and legal issues even when the selection process for transplantation seems medically justified. Because of the inadequate infrastructure for hemodialysis and peritoneal dialysis, coupled with the challenges of logistics for maintenance dialysis, transplantation would seem to be the best option for patients with end-stage renal failure, even in developed economies where these can easily be tackled. The main issues here revolve around incentives for donors, organ trade and trafficking and the economics of eliminating the waiting list and the criminal activities of organ trans-plantation. In the developing world, with the current level of corruption and poverty, there is a need to redouble efforts to monitor transplant activities. Professional bodies should take the lead in this regard. Furthermore, there is a need for governments to engage in public consultation and community awareness concerning organ donation in living and deceased persons.
authors.affiliation: Department of Medicine, College of Medicine/University College Hospital, University of Ibadan, Ibadan, Nigeria.
authors.forename: S O
authors.initials: SO
authors.lastname: Ajayi
authors.forename: Y
authors.initials: Y
authors.lastname: Raji
authors.forename: B L
authors.initials: BL
authors.lastname: Salako
mesh_terms: D006801:Humans; D016030:Kidney Transplantation / Q000941:ethics* / Q000331:legislation & jurisprudence*; D009549:Nigeria; D014019:Tissue Donors / Q000941:ethics*; D009927:Tissue and Organ Procurement / Q000941:ethics*