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The 3-step model of informed consent for living kidney donation: A proposal on behalf of the DESCaRTES working group of the european renal association

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dc.contributor.authorVELİOĞLU, ARZU
dc.contributor.authorsGrossi A. A., Sever M. S., Hellemans R., Mariat C., Crespo M., Watschinger B., Peruzzi L., Demir E., VELİOĞLU A., Gandolfini I., et al.
dc.date.accessioned2023-05-29T07:53:50Z
dc.date.available2023-05-29T07:53:50Z
dc.date.issued2023-01-01
dc.description.abstractLiving donation challenges the ethical principle of non-maleficence in that it exposes healthy persons to risks for the benefit of someone else. This makes safety, informed consent (IC) and education a priority. Living kidney donation has multiple benefits for the potential donor, but there are also several known short- and long-term risks. Although complete standardization of IC is likely to be unattainable, studies have emphasized the need for a standardized IC process to enable equitable educational and decision-making prospects for the prevention of inequities across transplant centers. Based on the Three-Talk Model of shared decision-making by Elwyn et al., we propose a model, named 3-Step (S) Model, where each step coincides with the three ideal timings of the process leading the living donor to the decision to pursue living donation: prior to the need for kidney replacement therapy (team talk); at the local nephrology unit or transplant center, with transplant clinicians and surgeons prior to evaluations start (option talk); and throughout evaluation, after having learned about the different aspects of donation, especially if there are second thoughts or doubts (decision talk). Based on the 3-S Model, to deliver conceptual and practical guidance to nephrologists and transplant clinicians, we provide recommendations for standardization of the timing, content, modalities for communicating risks and assessment of understanding prior to donation. The 3-S Model successfully allows an integration between standardization and individualization of IC, enabling a person-centered approach to potential donors. Studies will assess the effectiveness of the 3-S Model in kidney transplant clinical practice.
dc.identifier.citationGrossi A. A., Sever M. S., Hellemans R., Mariat C., Crespo M., Watschinger B., Peruzzi L., Demir E., VELİOĞLU A., Gandolfini I., et al., "The 3-Step Model of informed consent for living kidney donation: a proposal on behalf of the DESCaRTES Working Group of the European Renal Association", NEPHROLOGY DIALYSIS TRANSPLANTATION, 2023
dc.identifier.doi10.1093/ndt/gfad022
dc.identifier.issn0931-0509
dc.identifier.urihttps://avesis.marmara.edu.tr/api/publication/87afa15c-fd39-47cc-b47a-8ac9bdf29479/file
dc.identifier.urihttps://hdl.handle.net/11424/289696
dc.language.isoeng
dc.relation.ispartofNEPHROLOGY DIALYSIS TRANSPLANTATION
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectTıp
dc.subjectDahili Tıp Bilimleri
dc.subjectİç Hastalıkları
dc.subjectNefroloji
dc.subjectSağlık Bilimleri
dc.subjectMedicine
dc.subjectInternal Medicine Sciences
dc.subjectInternal Diseases
dc.subjectNephrology
dc.subjectHealth Sciences
dc.subjectTRANSPLANTASYON
dc.subjectKlinik Tıp
dc.subjectKlinik Tıp (MED)
dc.subjectÜROLOJİ VE NEFROLOJİ
dc.subjectTRANSPLANTATION
dc.subjectCLINICAL MEDICINE
dc.subjectClinical Medicine (MED)
dc.subjectUROLOGY & NEPHROLOGY
dc.subjectÜroloji
dc.subjectTransplantasyon
dc.subjectUrology
dc.subjectTransplantation
dc.subjectcommunication
dc.subjectethics
dc.subjectinformed consent
dc.subjectliving kidney donation
dc.subjectshared decision-making
dc.subjectLIVE DONOR NEPHRECTOMY
dc.subjectSHARED DECISION-MAKING
dc.subjectPUBLIC-ATTITUDES
dc.subjectRISK
dc.subjectRECOMMENDATIONS
dc.subjectEDUCATION
dc.subjectUS
dc.subjectNEPHROLOGISTS
dc.subjectHYPERTENSION
dc.subjectcommunication
dc.subjectethics
dc.subjectinformed consent
dc.subjectliving kidney donation
dc.subjectshared decision-making
dc.titleThe 3-step model of informed consent for living kidney donation: A proposal on behalf of the DESCaRTES working group of the european renal association
dc.typearticle
dspace.entity.typePublication
local.avesis.id87afa15c-fd39-47cc-b47a-8ac9bdf29479
local.indexed.atWOS
local.indexed.atPUBMED
relation.isAuthorOfPublicationa7410f0e-0eb4-4b83-ad61-a71dfbee164f
relation.isAuthorOfPublication.latestForDiscoverya7410f0e-0eb4-4b83-ad61-a71dfbee164f

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