Consenting to donation: an examination of current practices in informed consent for tissue donation in the US
- PMID: 22395736
- PMCID: PMC3568202
- DOI: 10.1007/s10561-012-9303-7
Consenting to donation: an examination of current practices in informed consent for tissue donation in the US
Abstract
Informed consent is the primary moral principle guiding the donation of human tissue for transplant purposes. When patients' donation wishes are not known, family members making the decision about tissue donation should be provided with requisite information needed to make informed donation decisions. Using a unique dataset of 1,016 audiotaped requests for tissue obtained from 15 US tissue banking organizations, we examined whether the information provided to families considering tissue donation met current standards for informed consent. The results indicated that many elements of informed consent were missing from the donation discussions, including the timeframe for procurement, autopsy issues, the involvement of both for-profit and nonprofit organizations, and the processing, storage and distribution of donated tissue. A multiple linear regression analysis also revealed that nonwhites and family members of increased age received less information regarding tissue donation than did younger, white decision makers. Recommendations for improving the practice of obtaining consent to tissue donation are provided.
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References
-
- Alaishuski LA, Grim RD, Domen RE. The informed consent process in whole blood donation. Arch Pathol Lab Med. 2008;132(6):947–951. - PubMed
-
- American Association of Tissue Banks. [Accessed 20 Jan 2012];2012 http://www.aatb.org/content.asp?contentie=453.
-
- Beauchamp TL, Childress JL. Principles of biomedical ethics. 6. Oxford University Press; New York: 2009.
-
- Brown CVR, Foulkrod KH, Dworacqyk S, Thompson K, Elliot E, Cooper H, Coopwood B. Barriers to obtaining family consent for potential organ donors. J Trauma. 2010;68(2):447–451. - PubMed
-
- Christmas AB, Burris GW, Bogarg TA, Sing RF. Organ donation: family members NOT honoring patient wishes. J Trauma. 2008;65(5):1095–1097. - PubMed
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