Recent developments in the area of living donation necessitate the revision of the currently applicable medical-ethical guidelines «Living donation of solid organs». The Central Ethics Committee (CEC) of the SAMS has appointed a subcommittee to revise the guidelines dating from 2008.
In living donation, donors make an organ available for transplantation while they are still alive, i.e. an operation is performed on a healthy individual for the benefit of a third party (usually a relative). This means that living donation gives rise to particular ethical challenges. The SAMS medical‑ethical guidelines «Living donation of solid organs» provide guidance for physicians, nurses and other health professionals involved in the medical and psychosocial assessment of donors and in their aftercare.
In view of the revision of the Federal Act on the Transplantation of Organs, Tissues and Cells (Transplantation Act; available in French | German) and other recent developments, the guidelines now need to be revised. One such development is crossover donation, which occurs in cases where direct donation (e.g. between spouses) is not possible on account of incompatibility. In crossover donation, a kidney goes, not to the donor’s spouse, but to a recipient in another couple. In exchange, the second couple donates a kidney to a recipient in the first couple.
Also to be reviewed and, if appropriate, amended are the recommendations on the evaluation of foreign donors and the aftercare of persons who have (illegally) purchased an organ abroad. Here, the resolutions recently adopted by the Council of Europe are to be taken into account. The subcommittee started work in December 2019, and the revised guidelines are expected to be submitted for public consultation in December 2022.
Members of the subcommittee
Professor Jürg Steiger, Basel, Transplantation Medicine (Chair)
Christine Bally, Bern, Nursing (until April 2022)
PD Dr Vanessa Banz, Bern, Visceral and Transplantation Surgery
Dr Isabelle Binet, St. Gallen, Nephrology
Dr Anne Dalle Ave, Lausanne, Ethics (until August 2021)
lic. phil. Irene Geiger, Basel, Psychology
Dr. sc. med. Manya Hendriks, SAMS (ex officio)
Professor Paul Hoff, Zollikon, CEC Chair
lic. iur. Ursula Hubschmid, Basel, Law/Donor Advocacy
Anita Hurni, Bern, Nursing (from April 2022)
Dr Gundula Ludwig, Lausanne, Psychology/Psychotherapy
Professor Thomas Müller, Zürich, Nephrology
Professor Beat Müllhaupt, Zürich, Hepatology
Christa Nolte, M.A., Basel, Living Donor Registry
Professor Rouven Porz, Bern, Ethics (from August 2021)
lic. iur. Michelle Salathé, MAE, Basel, Law and Ethics (scientific support)
Professor Yvan Vial, Lausanne, Medicine/Recipient Advocacy
Professor Jean Villard, Genève, Immunology/Transplantation