Transplantology: does our decision during life matter?

Abstract

Introduction. It has been known for a long time that there are diseases in the world which require much more from medicine than one might think. The golden mean for such conditions has been transplantology, a medical field which, thanks to its dynamic activity and development, has helped many patients, often becoming the only treatment for end-stage organ failure. Unfortunately, the number of donors in comparison with the number of recipients is on the decline, which leads to the deterioration of the state of health or even death of the potential recipient. There are many reasons for this, and the most significant element is our decision made during our lifetime, which after our death becomes an open door to saving those in need and leaves no doubt in the hearts of families.

Aim. The aim of the study was to prove the importance of making decisions during our lifetime whether we consent to donating organs to patients in need.

Material and methods. The method used in this study was a literature analysis and own experience as a hospital coordinator.

Review. Transplantology, referred to as a powerful force in Polish medicine, still faces adversities on many levels, becoming a taboo subject. The number of declarations submitted to Poltransplant concerning the lack of consent for organ donation, not only after death, but also during life for family transplants is growing every year. We do not consider that an "organ" is not a drug reimbursed by the ministry, but by people and their families.

Conclusions. Despite the fact that Poles are called egocentric, it is rare to find a donor's family aware of the donor's will. Often, the decision falls on the family, who, guided by their own best interests, do not agree to donate organs from an already deceased potential donor. A lack of awareness, conversation, and sometimes empathy can deny someone the chance for a better life—or sometimes, even just a chance to live. That is why our decision-making is so important, which will allow hospital coordinators or the family to act in accordance with the conscience of a potential donor.