Psychosomatics 46:58-64, February 2005
© 2005 The Academy of Psychosomatic Medicine
Differences in Attitude Toward Living and Postmortal Liver Donation in the United States, Germany, and Japan
Marc H. Dahlke,
Felix C. Popp,
Nadine Eggert,
Ludwig Hoy,
Hideaki Tanaka,
Katsunori Sasaki,
Pompiliu Piso, and
Hans J. Schlitt
Received Jan. 22, 2004; revision received May 9, 2004; accepted June 15, 2004. From the Centenary Institute of Cancer Medicine and Cell Biology, University of Sydney; the Department of Hepatobiliary and Transplantation Surgery, Royal Prince Alfred Hospital, Sydney, N.S.W., Australia; the Department of Visceral and Transplantation Surgery, the Department of Sociology, and the Department of Biometrics, Hannover Medical School, Hannover, Germany; the Department of Anatomy, Shinshu University, Japan; and the Department of Surgery, University of Regensburg, Regensburg, Germany. Address reprint requests to Dr. Dahlke, Department of Surgery, University of Regensburg, 93042 Regensburg, Germany; mhdahlke{at}web.de (e-mail).
Living liver donation is a possible immediate option for decreasing the shortage of liver allografts worldwide. Risks related to the donation make this procedure ethically controversial. Study groups of medical students (N=330) from three different nations were analyzed with a complex questionnaire, and data were subjected to multiparameter analysis. The readiness for living liver donation was dependent upon the cultural background of the study groups. It was higher in the U.S. than in Germany and Japan, with a higher donation readiness for children as recipients than adults. Major differences among distinct sociodemographic groups need to be carefully addressed when setting up consensus guidelines for the clinical practice of living donation.
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