Before Consentliving Donors and Gender Roles

  1. López de la Vieja, Mª Teresa
Revista:
Dilemata

ISSN: 1989-7022

Año de publicación: 2017

Título del ejemplar: Debates contemporáneos en ética de la donación y el trasplante de órganos

Número: 23

Páginas: 39-56

Tipo: Artículo

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Otras publicaciones en: Dilemata

Resumen

The article analyzes some data concerning gender differences in living organ donation, to argue in favor of a fair distribution of live donors. (1) Consent is a basic requirement in organ donation for transplants. However, reports about kidney transplants are very explicit, there is a gender imbalance. Live donation saves lives; it exemplifies altruism and real concern for others. But the answer to these messages seems different in women and men. (2) Gender issues have to be addressed, because social expectations could bear heavily on individual preferences, as the donors’ distribution indicates. (3) How have unequal rates of living organ donation been approached? Could the actual imbalance be a question of communication, health or altruism? Recent donation campaigns and common ideas about health differences and attitudes could be examined from a gender point of view. (4) After exploring three arguments about the gender gap (communication, health, and altruism), the suggestion here is that the solution should not be discouraging potential female donors but encouraging a fair distribution of donors. (5) To conclude, gender perspective is pertinent to confront the imbalance in living donation, because social roles and conventional ideas about the “gift of life” usually precede individual consent.

Referencias bibliográficas

  • Biller-Andorno, N. (2002) “Gender Imbalance in Living Organ Donation”, Medicine, Health Care and Philosophy, 5, pp 199-204.
  • Biller-Andorno, N. (2011) “Voluntariness in Living-Related Organ Donation”, Transplantation, 92, 617-619
  • Biller-Andorno, N., Agich, G., Doepkens, K., Schauenburg, H. (2001) “Who Shall Be Allowed to Give? Living Organ Donors and the Concept of Autonomy”, Theoretical Medicine, 22, 351-368
  • Biller-Andorno, N., Schauenburg, H. (2001) “It´s Love? Some Pitfalls in Emotionally Related Organ Donation”, Journal of Medical Ethics, 27, 162-164
  • Biro, D. (1998) “Silent Bond”, New York Times Sunday Magazine
  • Bosch, J. (1999) “Spain Leads World in Organ Donation and Transplantation”, JAMA, 282, 1, 17-18
  • Boulware, L.E., Ratner, L., Cooper, L, Sosa, A., Laveist, Th., Rowe, N. (2002) “Understanding Disparities in Donor Behavior. Race and Gender Differences in Willingness to Donate Blood and Cadaver Organs”, Medical Care, 40, 85-95
  • Casares, M. (2010) “Aspectos éticos de la donación renal en vivo”, Revista Nefrología, 30, 14-22
  • Childress, J., Liveman, C. (2006) Organ Donation, The National Academies Press, Washington
  • Chodorow, N. (1995) “Gender as a Personal and Cultural Construction”, Signs, 20, 516-544
  • Commission of the European Communities (2008), Action Plan on Organ Donation and Transplantation (2009-2015): Strengthened Cooperation between Member States, Brussels, COM(2008) 819/3
  • Coordinadora de Trasplantes de Aragón, ONT (2010), En el lado de la vida, https://youtu.be/r0xc4I_ PX7Y Accessed 15 December 2016
  • Council of Europe (2002) Additional Protocol to the Convention on Human Rights and Biomedicine concerning Transplantation of Organs and Tissues of Human Origin, European Treaty Series No. 186, Strasbourg
  • Council of Europe (2016) “International Figures on Donation and Transplantation. 2015”, Newsletter Transplant, vol.21
  • Csete, M. (2008) “Gender Issues in Transplantation”, International Anesthesia Research Society, 107, 232-238
  • Directive 2004/23/EC of the European Parliament and of The Council of 31 March 2004 on setting standards of quality and safety for the donation, procurement, testing, processing, preservation, storage and distribution of human tissues and cells
  • Directorate General Health and Consumers. Eurobarometer (2010) Organ Donation and Transplantation, Brussels
  • Eurobarometer (2010) Organ Donation a and Transplantation, Brussels, TNS Opinion & Social
  • Eurostat (2015) Key Figures in Europe, Luxembourg
  • Fox, R., Swazey, J. (1992) Spare Parts, New York, Oxford University Press
  • Ge, F., Huang, T., Yuan, S. Zhou, Y., Gong, W. (2013) “Gender Issues in Solid Organ Donation and Transplantation”, Annals of Transplantation, 18, 508-514
  • Ghods, A., Nasrollahzadeh, D. (2003) “Gender Disparity in a Live Donor Renal Transplantation Program Assessing From Cultural Perspective”, Transplantation Proceedings, 35, pp 2559-2560
  • GODT (2016) Organ Donation and Transplantation Activity. 2014.
  • Gouldner, A. (1960) “The Norm of Reciprocity: A Preliminary Statement” American Sociological Review, 25, 161-178
  • Gouldner, A. (1973) For Sociology. Renewal and Critique in Sociology Today, Allen Lane, London
  • Instituto Nacional de Estadística (2015) Mujeres y hombres en España, Madrid
  • Instituto Nacional de Estadística, Instituto de la Mujer y para la Igualdad de Oportunidades, Mujeres en cifras, http://www.inmujer.gob.es/MujerCifras/Conciliacion/ExcedPermisos.htm , Accessed 16 December 2016
  • Instituto Nacional de Estadística, Instituto de la Mujer y para la Igualdad de Oportunidades, Mujeres en cifras, http://www.inmujer.gob.es/MujerCifras/Home.htm, Accessed 16 December 2016
  • Instituto Nacional de Estadística, Instituto de la Mujer y para la Igualdad de Oportunidades, Mujeres en cifras, http://www.inmujer.gob.es/MujerCifras/Salud/MorbilidadAccidentalidad.htm , Accessed 16 December 2016
  • IRODaT (2016) Preliminary Numbers 2015
  • Kayler, L., Meier-Kriesche, H., Punche, J., Campbell, D., Leichtmann, A., Magee, J., Rudich, S., Arenas, J., Merion, R, (2002) “Gender Imbalance in Living Renal Transplantation”, Transplantation, 73, 27, 248-252
  • Kayler, L., Rasmussen, C., Dyksra, D., Ojo, A., Port, I., Wolf, R., Merlon, R. (2003) “Gender Imbalancd and Outcomes in Living Donor Renal Transplantation in the United States”, American Journal of Transplantation, 3, 452-458
  • Ley 30/1979 de 27 de octubre sobre extracción y trasplante de órganos
  • Ley Orgánica 3/2007, de 22 de marzo, para la igualdad efectiva de mujeres y hombres.
  • Live Organ Donor Consensus Group (2000) “Consensus Statement on the Live Organ Donor”, JAMA, 284, n.22, 2919-2926
  • López de la Vieja, M.T. (2008) “Organ Donors. Something for Nothing”, López de la Vieja, M.T., Velayos, C. (eds): Educación en Bioética. Donación y transplante de órganos. Bioethical Education. Organ Procurement and Transplantation, Publicaciones Universidad de Salamanca, Salamanca, 69-80
  • López de la Vieja, M.T. (2013) Bioética y literatura, Madrid, Plaza y Valdés
  • López del Moral, J.L. (2010) “Bases legales de la donación en vivo”, Nefrología, 30, suppl. 2, 23-29
  • Manyalich, M., Paredes, D., Vilardell, J. (2008) “Donación de vivo para trasplantes. Aspectos generales”, Matesanz, R. (ed.) El modelo español de coordinación y trasplantes, Madrid, Aula Médica, pp.181-185
  • Matesanz, R. (2008) “El modelo español de donación y trasplante de órganos: la ONT”, Matesanz, R. (ed.) El modelo español de coordinación y trasplantes, Madrid, Aula Médica, pp.11-26
  • Matesanz, R., Dique, M., Sagredo, E., Vega, R. (2008) “Prensa, donación y trasplantes”, Matesanz, R. (ed.) El modelo español de coordinación y trasplantes, Madrid, Aula Médica, 215-238
  • Mediaset, Eres perfecto para otros, http://www.mediaset.es/12meses/campanas/eres-perfectopara-otros/ Accessed 16 December, 2016
  • Ministerio de Empleo y Seguridad Social (2016), http://www.empleo.gob.es/es/estadisticas/contenidos/anuario.htm Accessed 16 December 2016
  • Ministerio de Sanidad, Política Social e Igualdad, ONT, Protocolo de donación renal altruista, Accessed 16 December, 2016
  • Ministero della Salute (2016) “Il genere come determinante di salute”, Quaderni del Ministero di Salute, 26
  • Oien, C., Varber, A, Leivestad, T, Pfeffer, R., Fauchald, P., Os, I. (2005) “Gender Imbalance among Donors in Living Kidney Transplantation: The Norwegian Experience”, Nephrology. Dialysis Transplant, 20, pp 783-789
  • ONT (Organización Nacional de Trasplantes) (2011) Guía de buenas prácticas en el proceso de donación de órganos.
  • ONT (Organización Nacional de Trasplantes) (2014) Trasplante renal con donante vivo. 2014.
  • ONT (Organización Nacional de Trasplantes) (2015) Memoria de actividad.
  • ONT (Organización Nacional de Trasplantes) (2015a) Trasplante renal con donante vivo. España 2015
  • ONT (Organización Nacional de Trasplantes) Eres perfecto para otros, http://www.eresperfectoparaotros. com/ Accessed 16 December, 2016
  • Oppenheimer, F. (2008) “El trasplante renal de donante vivo”, Matesanz, R. (ed.) El modelo español de coordinación y trasplantes, Madrid, Aula Médica, 187-191.
  • OPTN (2016), https://optn.transplant.hrsa.gov/data/view-data-reports/national-data/# Accessed 16 December, 2016
  • Puoti, F., Ricci, A., Nanni-Costa, A., Ricciardi, W., Malorni, W., Ortona, E. (2016), “Organ Transplantation and Gender Differences: A Paradigmatic Example of Intertwining Between Biological and Sociocultural Determinants”, Biology and Sex Differences, 7-35
  • Real Decreto 1723/2012, de 28 de diciembre, por el que se regulan las actividades de obtención, utilización clínica y coordinación territorial de los órganos humanos destinados al trasplante y se establecen requisitos de calidad y seguridad
  • Real Decreto 2070/1999 de 30 de diciembre, por el que se regulan las actividades de obtención y utilización clínica de órganos humanos y la coordinación territorial en materia de donación y trasplante de órganos y tejidos
  • Real Decreto 318/2016, de 5 de agosto, por el que se regula el procedimiento de autorización para la realización de actividades de promoción y publicidad de la donación de células y tejidos humanos.
  • Rodriguez-Arias, D., Wright, L., Paredes, D. (2010) “Success Factors and Ethical Challenges of the Spanish Model of Organ Donation”, The Lancet, 376, 9746, 1109-1112
  • Scheper-Hughes, N. (2007) “The Tyranny of the Gift: Sacrificial Violence in Living Donor Transplants”, American Journal of Transplantation, 7, 507-511
  • Schicktanz, S., Schweda, M., Wöhlke, S. (2010) “Gender Issue in Living Organ Donation: Medical, Social, and Ethical Aspects”, Klinke, I., Wiesemann, C. (eds.) Sex and Gender in Biomedicine, Universitätsverlag, Göttingen, 35-55
  • Scott, J. (1986) “Gender: A Useful Category of Historical Analysis”, The American Historical Review, 91, 1053-1075
  • Spital, A., Jacobs, Ch. (2007) “The Beauty of the Gift: The Wonder of Living Organ Donation”, Clinical Transplantation, 21, 435-440
  • Steiner, R., Bennett, W., Gert, B. (2004) “Ethical Approaches to Living Kidney Donor Education and Acceptance”.Steiner, R. Educating, Evaluating, and Selecting Living Kidney Donors, New York, University of California, Kluwer, 1-12
  • Steinman, J. (2006) “Gender Disparity in Organ Donation”, Gender Medicine, 3, 246-252
  • The Ethics Committee of Transplantation Society (2004) “The Consensus Statement of the Amsterdam Forum on the Care of the Live Kidney Donor”, Transplantation, 78, n. 4, 491-492.
  • Thiel, G., Nolte, C., Tsinalis, D. (2005) “Gender Imbalance in Living Kidney Donation in Switzerland”, Transplantation Proceedings, 37, p. 592-594
  • Thompson, T., Robinson, J., Kenny, R.W. (2003) “Gender Differences in Family Communication about Organ Donation”, Sex Roles, 49, 587-596
  • Tiempo extra (2015) https://www.youtube.com/watch?v=zOhUlaeqWMs, Accessed 16 December 2016
  • United Nations (2015) Human Development Report
  • Wood, J. (2013) Gendered Lives: Communication, Gender, and Culture, Wadsworth, Boston
  • World Health Organization (2001) Gender Mainstreaming Health Policies in Europe Youngner, S. (2003) “Some Must Die”, Zygon, 38, 705-724
  • World Health Organization (2009) Global Glossary of Terms and Definitions of Donation and Transplantation, Geneva
  • World Health Organization (2010) Guiding Principles on Human Cell, Tissue and Organ Transplantation, WHA 63.22
  • Youngner, S. (2003) “Some Must Die”, Zygon, 38, 705-724
Fuente de los datos: Dialnet