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Join the Lone Kidney Club: incentivising live organ donation
  1. Annet Glas1,2
  1. 1 Max Planck Institute of Neurobiology, Martinsried, Germany
  2. 2 Graduate School of Systemic Neurosciences, Ludwig Maximilian University of Munich Faculty of Biology, Martinsried, Germany
  1. Correspondence to Annet Glas, Max-Planck-Institute of Neurobiology, Planegg-Martinsried 82152, Germany; annetglas{at}


Given the dramatic shortage of transplantable organs, demand cannot be met by established and envisioned organ procurement policies targeting postmortem donation. Live organ donation (LOD) is a medically attractive option, and ethically permissible if informed consent is given and donor beneficence balances recipient non-maleficence. Only a few legal and regulatory frameworks incentivise LOD, with the key exception of Israel’s Organ Transplant Law, which has produced significant improvements in organ donation rates. Therefore, I propose an organ procurement system that incentivises LOD by allocating additional priority points to the living donor on any transplant waiting list. I outline benefits and challenges for potential recipients, donors and society at large, and suggest measures to ensure medical protection of marginalised patient groups.

  • allocation of organs/tissues
  • transplantation

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Data availability statement

There are no data in this work.

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  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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