Progress in Transplantation最新文献

Four Decades of Research Productivity and Hot Spots in Pancreas Transplantation. 胰腺移植四十年的研究成果和热点。

IF 0.6 4区医学

Progress in Transplantation Pub Date : 2024-08-28 DOI: 10.1177/15269248241268719

Badi Rawashdeh, Emre Arpali, Haneen Al Abdallat, Matthew Cooper, Ty Dunn

{"title":"Four Decades of Research Productivity and Hot Spots in Pancreas Transplantation.","authors":"Badi Rawashdeh, Emre Arpali, Haneen Al Abdallat, Matthew Cooper, Ty Dunn","doi":"10.1177/15269248241268719","DOIUrl":"https://doi.org/10.1177/15269248241268719","url":null,"abstract":"Background: The field of pancreas transplantation has undergone transformative phases, progressing from its promising inception in 1966 to becoming a standard treatment for patients with insulin-dependent diabetes. This bibliometric analysis explores the progression of pancreas transplantation research over a period of four decades, mapping milestones, contributors, and emerging trends. Methods: Our bibliometric analysis utilizes the comprehensive Scopus database, which includes publication titles, author information, affiliations, abstracts, keywords, and journal details. The search strategy was centered on research related to pancreas and pancreas-kidney transplantation. The analysis encompasses the time frame spanning from 1983 to 2023, with the data extraction taking place on October 7th, 2023. Results: The analysis of 4,897 articles uncovered unique trends in the field of pancreas transplantation research. The years 1989, 1996, and 2021 saw significant increases in the number of publications, which corresponded to the responses to clinical challenges and advancements. Contributions by authors from the United States of America were the most numerous, with 1,905 publications and 49,949 citations. The research topics were highlighted by keywords such as \"graft survival,\" \"graft rejection,\" and\" Immunosuppressive treatment.\" Conclusion: The fluctuations in publication trends that have been identified indicate dynamic reactions to changing priorities and challenges. Although it has limitations, this analysis provides valuable insights for researchers, clinicians, and policymakers who are dealing with the complex field of pancreas transplantation literature. Further bibliometric research may advance our knowledge and direct future initiatives in this developing field.","PeriodicalId":20671,"journal":{"name":"Progress in Transplantation","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142081376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Mixed Method Study in Young Children Participating in Clinical Research During A Kidney Transplantation Trajectory. 在肾移植过程中参与临床研究的幼儿的混合方法研究。

IF 0.6 4区医学

Progress in Transplantation Pub Date : 2024-08-14 DOI: 10.1177/15269248241268718

Marieke Voet, Guusje Lucker, Ignacio Malagon, Nienke Maas-van Schaaijk, Elisabeth A M Cornelissen, Yvonne Engels

{"title":"A Mixed Method Study in Young Children Participating in Clinical Research During A Kidney Transplantation Trajectory.","authors":"Marieke Voet, Guusje Lucker, Ignacio Malagon, Nienke Maas-van Schaaijk, Elisabeth A M Cornelissen, Yvonne Engels","doi":"10.1177/15269248241268718","DOIUrl":"https://doi.org/10.1177/15269248241268718","url":null,"abstract":"Introduction: Regulations designed to protect children participating in clinical research often restrict the availability of research data necessary for the development of age-specific therapies and drug dosing. Few data exist on how children experience participation in clinical research, and studies investigating young children undergoing an intensive medical treatment are lacking.Methods: Mixed methods with semi-structured interviews and DISCO-RC questionnaires were used to explore young children's and their parents' experiences in clinical research participation during a kidney transplantation trajectory.Findings: Nine children and their parents were interviewed. Children's median age at kidney transplantation was 4 years (IQR 4,7); age at interview was 7 years (IQR 6,9). Thematic content analysis of interviews revealed that most children were unaware of having participated in a study. Both children and their parents frequently were unaware whether procedures were standard care or research related. The additional burden attributed to study participation varied from not at all to heavy in combination with intensive medical treatment. Positive experiences included kind healthcare professionals, effective distraction techniques, educational aspects, contributing to science and extra check-ups. Most reported negative experiences were conflicting communication, spending much time in the hospital, missing school and suboptimal planning. Venous puncture was stressful for all children, whereas the discomfort of other procedures varied.Conclusion: Pediatric clinical research design should focus on education and fun during research procedures, smart planning, consistent communication, close collaboration between clinical and research team and age appropriate distraction techniques.","PeriodicalId":20671,"journal":{"name":"Progress in Transplantation","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141976469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Culturally Safe Care Barriers and Facilitators in Organ Transplantation and Donation According to First Nations and Health Professionals in Quebec, Canada. 加拿大魁北克原住民和卫生专业人员认为器官移植和捐献中的文化安全护理障碍和促进因素。

IF 0.6 4区医学

Progress in Transplantation Pub Date : 2024-08-14 DOI: 10.1177/15269248241268672

Kimberly Borwick, Christine Loignon, Chantal Viscogliosi, Bibiane Courtois, Marie-Claude Battista, Frédérick D'Aragon

{"title":"Culturally Safe Care Barriers and Facilitators in Organ Transplantation and Donation According to First Nations and Health Professionals in Quebec, Canada.","authors":"Kimberly Borwick, Christine Loignon, Chantal Viscogliosi, Bibiane Courtois, Marie-Claude Battista, Frédérick D'Aragon","doi":"10.1177/15269248241268672","DOIUrl":"10.1177/15269248241268672","url":null,"abstract":"Introduction: First Nations are most at risk of developing end-stage kidney disease. Kidney transplantation is the best treatment option for these patients; however, First Nations donors are underrepresented. The aim of this study was to describe and understand barriers and facilitators of culturally safe organ transplantation and donation from the perspective of First Nations and Health Professionals in the Province of Quebec, Canada. Methods/Approach: This was a qualitative descriptive study using the decolonizing Two-Eyed Seeing approach. The sample consisted of First Nations people and health professionals living in Quebec, Canada, who have had an experience of organ transplantation or donation. Semi-structured interviews were conducted between May and September 2021 with 11 people, including 5 healthcare professionals and 6 First Nations people. Findings: This study enrolled 11 participants. Several individual and contextual factors influencing culturally safe organ transplantation and donation among First Nations people were identified: language barrier, impacts of relocation, lack of knowledge about transplantation, mistrust of the healthcare system, family support and accompaniment, and transplant testimonials. Discussion: This study identified several avenues for reinforcing culturally safe transplantation and donation among First Nations, including the presence of a companion in medical consultations, focusing on access to culturally safe accommodation and sharing transplant testimonials. Further work in partnership with First Nations is needed to improve access to culturally safe organ transplantation.","PeriodicalId":20671,"journal":{"name":"Progress in Transplantation","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141976470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

When Should Patients With Less Than 6 Months Sobriety Be Transplanted? 戒酒不足 6 个月的患者何时应该接受移植？

IF 0.6 4区医学

Progress in Transplantation Pub Date : 2024-08-06 DOI: 10.1177/15269248241268684

Nicky Keller, Allison Lewis, Carol Zogran, Sheila Bullock, Maureen Flattery

引用次数: 0

A Comparative Study of Cognitive and Motor Performance in Liver Recipients. 肝脏受体认知和运动能力比较研究

IF 0.6 4区医学

Progress in Transplantation Pub Date : 2024-08-06 DOI: 10.1177/15269248241268716

Tuba Yüksel Ergene, Ümit Akay, Didem Karadibak, İsmail Özsoy

{"title":"A Comparative Study of Cognitive and Motor Performance in Liver Recipients.","authors":"Tuba Yüksel Ergene, Ümit Akay, Didem Karadibak, İsmail Özsoy","doi":"10.1177/15269248241268716","DOIUrl":"https://doi.org/10.1177/15269248241268716","url":null,"abstract":"Introduction: Neurocognitive and motor impairments are often observed both before and after liver transplantation, resulting in inefficiencies in dual-task performance. Specific aim: The aim of this study was to evaluate the motor-cognitive dual-task performance in liver recipients, with a particular emphasis on cognition, performance status, and the impact of the COVID-19 pandemic. Design: A prospective, cross-sectional, web-based design with a control group was used. The study included 22 liver transplant recipients and 23 controls. Participants completed a motor-cognitive dual-task test (timed up and go test, TUG), a cognitive assessment (mini mental state examination), and a physical performance test (5-repetition sit-to-stand test). The study also used a functional performance status scale (The Karnofsky performance status) and assessed fear of coronavirus disease (fear of COVID-19 scale). Dual-task interference was assessed and the rate of correct responses per second was calculated to assess cognitive performance. Results: The results indicated no statistically significant difference in TUG time and TUG correct responses per second between the groups (group × condition interactions; P > 0.05). There was no significant difference in cognitive and motor dual-task interference during the TUG test between the two groups (P > 0.05). The Karnofsky Performance Status score was significantly correlated with TUG motor dual-task interference (r = -0.424 and P = 0.049). Conclusion: This study suggests that dual-task performance does not differ in cognitive or motor performance between liver recipients and healthy controls under the same dual-task condition. However, further controlled studies are needed to improve the generalizability of these findings.","PeriodicalId":20671,"journal":{"name":"Progress in Transplantation","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141898147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Patient Perspectives on the Use of Aging Metrics for Kidney Transplant Decision-Making. 患者对肾移植决策中使用衰老指标的看法。

IF 0.6 4区医学

Progress in Transplantation Pub Date : 2024-08-06 DOI: 10.1177/15269248241268686

Akanksha Nalatwad, Evelien E Quint, Maria Fazal, Valerie Thompson, Xiaomeng Chen, Prakriti Shrestha, Sarah E Van Pilsum Rasmussen, Yiting Li, Dorry L Segev, Casey Jo Humbyrd, Mara McAdams-DeMarco

{"title":"Patient Perspectives on the Use of Aging Metrics for Kidney Transplant Decision-Making.","authors":"Akanksha Nalatwad, Evelien E Quint, Maria Fazal, Valerie Thompson, Xiaomeng Chen, Prakriti Shrestha, Sarah E Van Pilsum Rasmussen, Yiting Li, Dorry L Segev, Casey Jo Humbyrd, Mara McAdams-DeMarco","doi":"10.1177/15269248241268686","DOIUrl":"https://doi.org/10.1177/15269248241268686","url":null,"abstract":"Introduction: Frailty and cognitive function are often measured during kidney transplant evaluation. However, patient perspectives on the ethical considerations of this practice are unclear.Research question: What are patient perspectives on the use of aging metrics in kidney transplant decision-making?Design: One hundred participants who were evaluated for kidney transplantation and were enrolled in an ongoing prospective cohort study (response rate = 61.3%) were surveyed. Participants were informed of the definitions of frailty and cognitive impairment and then asked survey questions regarding the use of these measures of aging to determine kidney transplant candidacy.Results: Participants (75.6%) thought it was unfair to prevent older adults from receiving a kidney transplant based on age, but there was less agreement on whether it was fair to deny frail (46.5%) and cognitively impaired (45.9%) patients from accessing kidney transplantation. Compared to older participants, younger participants had 5.36-times (95%CI:1.94-14.81) the odds of choosing a hypothetical younger, frail patient to list for kidney transplantation than an older, non-frail patient; they also had 3.56-times (95%CI:1.33-9.56) the odds of choosing the hypothetical frail patient with social support rather than a non-frail patient without social support. Participants disagreed on the use of patient age as a listing criterion; 19.5% ranked it as the fairest and 28.7% as the least fair.Conclusion: The patient views highlighted in this study are an important step toward developing ethical guidelines to ensure fair use of frailty, cognitive function, and chronological age for kidney transplant decision-making.","PeriodicalId":20671,"journal":{"name":"Progress in Transplantation","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141894131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Delphi Panel Study for Public Education about Vascularized Composite Allograft Donation in the United States. 美国血管化复合异体移植物捐赠公众教育德尔菲小组研究。

IF 0.6 4区医学

Progress in Transplantation Pub Date : 2024-08-02 DOI: 10.1177/15269248241268724

Max C Downey, Carolyn N Sidoti, Alexander Ferzola, Naomi Anderson, Hannah C Sung, Sarah E Van Pilsum Rasmussen, Karen B Vanterpool, Dorry L Segev, Carisa M Cooney, Laura L Kimberly, Daniel S Warren, Ieesha D Johnson, Gerald Brandacher, Elisa J Gordon, Macey L Levan

{"title":"A Delphi Panel Study for Public Education about Vascularized Composite Allograft Donation in the United States.","authors":"Max C Downey, Carolyn N Sidoti, Alexander Ferzola, Naomi Anderson, Hannah C Sung, Sarah E Van Pilsum Rasmussen, Karen B Vanterpool, Dorry L Segev, Carisa M Cooney, Laura L Kimberly, Daniel S Warren, Ieesha D Johnson, Gerald Brandacher, Elisa J Gordon, Macey L Levan","doi":"10.1177/15269248241268724","DOIUrl":"https://doi.org/10.1177/15269248241268724","url":null,"abstract":"Introduction: Improving public awareness about the opportunity to become a vascularized composite allograft (VCA) donor is crucial to increasing access to organs. Prior research identified a need for comprehensive and comprehensible public education materials. A 2-round Delphi panel was conducted to garner US expert consensus on the topics and language to include in public education materials via an organ procurement organization-hosted website. Methods: The round 1 survey assessed the importance of educational topics and statements (n = 19) using 5-point Likert scales. The round 2 survey asked experts to rate new and repeated educational topics (n = 27). Open-ended comment boxes elicited experts' feedback and language revisions for educational statements. Responses were analyzed using descriptive statistics and rapid qualitative analysis. Findings: Eighteen experts responded to the round 1 survey and 15 to round 2. After round 2, 20 topics had mean (M) importance greater than neutral (M > 3.00) and were retained in the educational materials. The 5 most important topics by mean Likert ratings were: consent process for donation (M = 4.73), potential recipients (M = 4.73), most common vascularized composite organs transplanted (M = 4.47), purpose (M = 4.47), and definition (M = 4.47). Seven themes emerged from experts' open-ended comments about the importance and language of educational statements. Conclusions: Delphi panel findings identified expert-endorsed topics and educational statements for public education about vascularized composite organ donation via an educational website. Future research should assess the website's impact on public knowledge of VCA donation.","PeriodicalId":20671,"journal":{"name":"Progress in Transplantation","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141879315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Program Evaluation of Pharmacist-Performed Medication Adherence Assessments in Candidates for Living Donor Kidney Transplant. 由药剂师对活体肾移植候选者进行用药依从性评估的项目评估。

IF 0.6 4区医学

Progress in Transplantation Pub Date : 2024-08-02 DOI: 10.1177/15269248241268681

Linh Nguyen, Abigail Forte, Gregory Malat, Xinqi Liu, Jose Rivera, Cara Christopher, Rahul Samudralwar, Tolulope Ilori, Maxwell Norris, Melissa Bleicher, Robert R Redfield, Robert Weinrieb, Roy D Bloom, Ty B Dunn, Jennifer Trofe-Clark

{"title":"Program Evaluation of Pharmacist-Performed Medication Adherence Assessments in Candidates for Living Donor Kidney Transplant.","authors":"Linh Nguyen, Abigail Forte, Gregory Malat, Xinqi Liu, Jose Rivera, Cara Christopher, Rahul Samudralwar, Tolulope Ilori, Maxwell Norris, Melissa Bleicher, Robert R Redfield, Robert Weinrieb, Roy D Bloom, Ty B Dunn, Jennifer Trofe-Clark","doi":"10.1177/15269248241268681","DOIUrl":"https://doi.org/10.1177/15269248241268681","url":null,"abstract":"Introduction: Medication education and adherence assessments are integral to kidney transplant success. This program evaluation aimed to describe candidate-reported findings using a standardized medication adherence assessment in candidates undergoing living-donor kidney transplantation. Design: This was a single-center retrospective description of medication adherence on adult HIV-negative living-donor candidates from July 1, 2018 to December 1, 2018 who had ≥6 months post-operative follow-up. Medication adherence assessments were performed by a pharmacist at the pre-operative visit within 2 weeks prior to transplant. Candidates were considered to (a) have adherence concerns if they reported missed/late medications within 2 weeks of assessment or ever stopped a medication without medical advice and (b) considered using adherence strategies if they reported active use of pill box, method to keep track of refills/auto-refill use, medication list, or medication reminder(s). Missed medication data were collected at 3- and 6-months posttransplant. Results: Among 181 candidates included, 81 (45%) had adherence concerns and 169 (93%) reported using adherence strategies. There were no significant differences with adherence concerns by age ≤ 29 years, sex, race, prior transplant/dialysis, or less than a high school education. More candidates with greater than a high school education used adherence strategies (96% vs 86%, P = .002). Too few candidates had documentation on missing medications at 3 and 6 months. Conclusions: Over 40% of candidates reported characteristics concerning medication nonadherence despite over 90% reporting adherence strategies used. Medication adherence assessments can assist with identification of medication nonadherence and education individualization.","PeriodicalId":20671,"journal":{"name":"Progress in Transplantation","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141879316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Highly Sensitized Kidney Transplant Outcomes After the 2014 Kidney Allocation System Change. 2014 年肾脏分配制度改革后的高度敏感肾移植结果。

IF 0.6 4区医学

Progress in Transplantation Pub Date : 2024-08-01 DOI: 10.1177/15269248241268697

Jae-Hyung Chang, Kristen L King, S Ali Husain, Geoffrey K Dube, E Rodica Vasilescu, Shefali Patel, David J Cohen, Lloyd E Ratner, Sumit Mohan, R John Crew

{"title":"Highly Sensitized Kidney Transplant Outcomes After the 2014 Kidney Allocation System Change.","authors":"Jae-Hyung Chang, Kristen L King, S Ali Husain, Geoffrey K Dube, E Rodica Vasilescu, Shefali Patel, David J Cohen, Lloyd E Ratner, Sumit Mohan, R John Crew","doi":"10.1177/15269248241268697","DOIUrl":"https://doi.org/10.1177/15269248241268697","url":null,"abstract":"Introduction: Kidney Allocation System (KAS) was implemented by United Network for Organ Sharing in 2014 to reduce allocation disparities. Research Questions: Outcomes of highly sensitized patients (calculated panel reactive antibody (cPRA) ≥ 97%) before and after KAS were compared to low-risk recipients (cPRA <10%) in the post-KAS era were examined. The impact on racial disparities was determined. Design: This was a retrospective study of national registry data. Two cohorts of adult candidates waitlisted for deceased donor transplantation during 3-year periods before and after KAS were identified. Results: Highly sensitized patients (N = 1238 and 4687) received a deceased donor kidney transplant between January 1, 2011 and December 31, 2013 and between January 1, 2015 and December, 31, 2017. Racial disparity for highly sensitized patients improved, yet remained significant (P < 0.001), with Black patients comprising 40% and 41% of the highly sensitized candidates and 28% and 34% of the recipients pre- and post-KAS. While posttransplant death-censored graft failure for highly sensitized recipients was similar overall, post-KAS was associated with improved graft survival in the first year after transplant (HR 0.56, 95% CI 0.40-0.78). When compared to contemporaneous lowrisk recipients, both death-censored and all-cause graft failure were similar for highly sensitized recipients and was associated with increased risk for death-censored graft failure beyond the first year (HR 1.39, 95% CI 1.11-1.73). Conclusion: The allocation system led to an increase in transplantation in highly sensitized candidates without compromising outcomes. Although KAS has led to more balanced transplant rates between highly sensitized Black and White patients, racial inequalities persist.","PeriodicalId":20671,"journal":{"name":"Progress in Transplantation","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141875772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

How Do Financial Obstacles Affect Decision-Making Among Potential Living Organ Donors? 经济障碍如何影响潜在活体器官捐献者的决策？

IF 0.6 4区医学

Progress in Transplantation Pub Date : 2024-08-01 DOI: 10.1177/15269248241268679

Rebecca J Mandell, Abigail R Smith, Kimberly A Gifford, Barry A Hong, Nathan P Goodrich, Amit K Mathur, Melissa A Fava, Akinlolu O Ojo, Robert M Merion

{"title":"How Do Financial Obstacles Affect Decision-Making Among Potential Living Organ Donors?","authors":"Rebecca J Mandell, Abigail R Smith, Kimberly A Gifford, Barry A Hong, Nathan P Goodrich, Amit K Mathur, Melissa A Fava, Akinlolu O Ojo, Robert M Merion","doi":"10.1177/15269248241268679","DOIUrl":"https://doi.org/10.1177/15269248241268679","url":null,"abstract":"Introduction: Living donation increases the organ supply, but associated non-medical expenses can disincentivize donation. Programs aimed at increasing living donation need to better understand how financial obstacles, including lost wages, impact the decision to pursue donation. Methods/Approach: Forty-eight interviews were conducted and analyzed using a grounded theory approach. Findings: Three key themes were identified that influenced decision-making: emotional attachment, temporal flexibility, and job security. These themes emerged when dividing interview participants into 3 groups: close relationship donors, broader network donors, and non-directed donors, representing donation to a family member or friend, a specific person they do not know well or at all, or a non-specified individual, respectively. Most close relationship donors wanted to donate regardless of personal financial cost, based on emotional attachment to the recipient. Wage reimbursement did not typically affect their decision-making but could reduce stress. Since non-directed donors did not donate to a specific individual, they could wait to achieve financial stability before donating, if needed. While wage reimbursement might create more proximate stability, non-directed donors had the flexibility to postpone donations until they could independently achieve financial stability. Lacking emotional attachment and temporal flexibility, broader network donors were particularly active decision-makers and most influenced by wage reimbursement. Across all groups, donors with job security were more resolute about donating. Conclusion: The findings underscore the importance of lost wage reimbursement to facilitate donation and reduce stress, and policies to protect donor job security.","PeriodicalId":20671,"journal":{"name":"Progress in Transplantation","volume":null,"pages":null},"PeriodicalIF":0.6,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141875773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0