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Join the Lone Kidney Club: incentivising live organ donation
  1. Annet Glas1,2
  1. 1Max Planck Institute of Neurobiology, Martinsried, Germany
  2. 2Graduate 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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  • 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.

  • Patient consent for publication Not required.

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

  • Data availability statement There are no data in this work.

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