Between scylla and charybdis: Charting an ethical course for research into financial incentives for living kidney donation

J. S. Fisher; Z. Butt; J. Friedewald; S. Fry-Revere; J. Hanneman; M. L. Henderson; K. Ladin; H. Mysel; L. Preczewski; L. A. Sherman; C. Thiessen; E. J. Gordon

doi:10.1111/ajt.13234

Between scylla and charybdis: Charting an ethical course for research into financial incentives for living kidney donation

J. S. Fisher, Z. Butt, J. Friedewald, S. Fry-Revere, J. Hanneman, M. L. Henderson, K. Ladin, H. Mysel, L. Preczewski, L. A. Sherman, C. Thiessen, E. J. Gordon

Research output: Contribution to journal › Review article › peer-review

14 Scopus citations

Abstract

New approaches to address the kidney scarcity in the United States are urgently needed. The greatest potential source of kidneys is from living donors. Proposals to offer financial incentives to increase living kidney donation rates remain highly controversial. Despite repeated calls for a pilot study to assess the impact of financial compensation on living kidney donation rates, many fear that financial incentives will exploit vulnerable individuals and cast the field of transplantation in a negative public light, ultimately reducing donation rates. This paper provides an ethical justification for conducting a pilot study of a federally regulated approach to providing financial incentives to living kidney donors, with the goal of assessing donors' perceptions.

Original language	English (US)
Pages (from-to)	1180-1186
Number of pages	7
Journal	American Journal of Transplantation
Volume	15
Issue number	5
DOIs	https://doi.org/10.1111/ajt.13234
State	Published - May 1 2015
Externally published	Yes

Keywords

Clinical trial design
donors and donation: incentives
editorial/personal viewpoint
education
ethics
ethics and public policy
ethnicity/race
kidney transplantation/nephrology
kidney transplantation: living donor
social sciences

ASJC Scopus subject areas

Immunology and Allergy
Transplantation
Pharmacology (medical)

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10.1111/ajt.13234

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Fisher, J. S., Butt, Z., Friedewald, J., Fry-Revere, S., Hanneman, J., Henderson, M. L., Ladin, K., Mysel, H., Preczewski, L., Sherman, L. A., Thiessen, C., & Gordon, E. J. (2015). Between scylla and charybdis: Charting an ethical course for research into financial incentives for living kidney donation. American Journal of Transplantation, 15(5), 1180-1186. https://doi.org/10.1111/ajt.13234

Fisher, JS, Butt, Z, Friedewald, J, Fry-Revere, S, Hanneman, J, Henderson, ML, Ladin, K, Mysel, H, Preczewski, L, Sherman, LA, Thiessen, C & Gordon, EJ 2015, 'Between scylla and charybdis: Charting an ethical course for research into financial incentives for living kidney donation', American Journal of Transplantation, vol. 15, no. 5, pp. 1180-1186. https://doi.org/10.1111/ajt.13234

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abstract = "New approaches to address the kidney scarcity in the United States are urgently needed. The greatest potential source of kidneys is from living donors. Proposals to offer financial incentives to increase living kidney donation rates remain highly controversial. Despite repeated calls for a pilot study to assess the impact of financial compensation on living kidney donation rates, many fear that financial incentives will exploit vulnerable individuals and cast the field of transplantation in a negative public light, ultimately reducing donation rates. This paper provides an ethical justification for conducting a pilot study of a federally regulated approach to providing financial incentives to living kidney donors, with the goal of assessing donors' perceptions.",

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AU - Fry-Revere, S.

AU - Hanneman, J.

AU - Henderson, M. L.

AU - Ladin, K.

AU - Mysel, H.

AU - Preczewski, L.

AU - Sherman, L. A.

AU - Thiessen, C.

AU - Gordon, E. J.

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AB - New approaches to address the kidney scarcity in the United States are urgently needed. The greatest potential source of kidneys is from living donors. Proposals to offer financial incentives to increase living kidney donation rates remain highly controversial. Despite repeated calls for a pilot study to assess the impact of financial compensation on living kidney donation rates, many fear that financial incentives will exploit vulnerable individuals and cast the field of transplantation in a negative public light, ultimately reducing donation rates. This paper provides an ethical justification for conducting a pilot study of a federally regulated approach to providing financial incentives to living kidney donors, with the goal of assessing donors' perceptions.

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KW - ethics

KW - ethics and public policy

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Between scylla and charybdis: Charting an ethical course for research into financial incentives for living kidney donation

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Keywords

ASJC Scopus subject areas

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