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Organ Allocation for Liver Transplantation According to the Public Opinion

BACKGROUND: Although liver transplantation is the last resort for treating end stage liver diseases, this medical procedure is not available for all needful patients because of inadequate organ supply. Therefore, guidelines have been developed by medical experts to regulate the process. Some profess...

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Autores principales: Danesh, Ahmad, Nedjat, Saharnaz, Asghari, Fariba, Jafarian, Ali, Fotouhi, Akbar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Kowsar 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3475021/
https://www.ncbi.nlm.nih.gov/pubmed/23087752
http://dx.doi.org/10.5812/hepatmon.6183
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author Danesh, Ahmad
Nedjat, Saharnaz
Asghari, Fariba
Jafarian, Ali
Fotouhi, Akbar
author_facet Danesh, Ahmad
Nedjat, Saharnaz
Asghari, Fariba
Jafarian, Ali
Fotouhi, Akbar
author_sort Danesh, Ahmad
collection PubMed
description BACKGROUND: Although liver transplantation is the last resort for treating end stage liver diseases, this medical procedure is not available for all needful patients because of inadequate organ supply. Therefore, guidelines have been developed by medical experts to regulate the process. Some professionals believe that medical criteria are inadequate for organ allocation in all situations and may not secure fairness of organ allocation. OBJECTIVES: The current study has been designed to identify decision criteria about allocation of donated liver to potential recipients from public points of view. PATIENTS AND METHODS: This is a qualitative study that was conducted through individual interviews and Focus Group Discussions. Individual interviews were conducted among patients’ companions and nurses in one of the two liver transplant centers in Iran. Group discussions were conducted among groups of ordinary people who had not dealt previously with the subject. Data was analyzed by Thematic Analysis method. RESULTS: Most of the participants in this study believe that in equal medical conditions, some individual and societal criteria could be used to prioritize patients for receiving donated livers. The criteria include psychological acceptance, ability to pay post-operative care costs, being breadwinner of the family, family support, being socially valued, ability to be instructed, lack of mental disorders, young age of the recipient, being on waiting list for a long time, lack of patient’s role in causing the illness, first time transplant recipient, critical medical condition, high success rate of transplantation, lack of concurrent medical illnesses, not being an inmate at the time of receiving transplant, and bearing Iranian nationality. CONCLUSIONS: Taking public opinion into consideration may smooth the process of organ allocation to needful patients with equal medical conditions. It seems that considering these viewpoints in drafting organ allocation guidelines may increase confidence of the society to the equity of organ allocation in the country. This strategy may also persuade people to donate organs particularly after death.
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spelling pubmed-34750212012-10-20 Organ Allocation for Liver Transplantation According to the Public Opinion Danesh, Ahmad Nedjat, Saharnaz Asghari, Fariba Jafarian, Ali Fotouhi, Akbar Hepat Mon Original Article BACKGROUND: Although liver transplantation is the last resort for treating end stage liver diseases, this medical procedure is not available for all needful patients because of inadequate organ supply. Therefore, guidelines have been developed by medical experts to regulate the process. Some professionals believe that medical criteria are inadequate for organ allocation in all situations and may not secure fairness of organ allocation. OBJECTIVES: The current study has been designed to identify decision criteria about allocation of donated liver to potential recipients from public points of view. PATIENTS AND METHODS: This is a qualitative study that was conducted through individual interviews and Focus Group Discussions. Individual interviews were conducted among patients’ companions and nurses in one of the two liver transplant centers in Iran. Group discussions were conducted among groups of ordinary people who had not dealt previously with the subject. Data was analyzed by Thematic Analysis method. RESULTS: Most of the participants in this study believe that in equal medical conditions, some individual and societal criteria could be used to prioritize patients for receiving donated livers. The criteria include psychological acceptance, ability to pay post-operative care costs, being breadwinner of the family, family support, being socially valued, ability to be instructed, lack of mental disorders, young age of the recipient, being on waiting list for a long time, lack of patient’s role in causing the illness, first time transplant recipient, critical medical condition, high success rate of transplantation, lack of concurrent medical illnesses, not being an inmate at the time of receiving transplant, and bearing Iranian nationality. CONCLUSIONS: Taking public opinion into consideration may smooth the process of organ allocation to needful patients with equal medical conditions. It seems that considering these viewpoints in drafting organ allocation guidelines may increase confidence of the society to the equity of organ allocation in the country. This strategy may also persuade people to donate organs particularly after death. Kowsar 2012-08-20 /pmc/articles/PMC3475021/ /pubmed/23087752 http://dx.doi.org/10.5812/hepatmon.6183 Text en Copyright © 2012, Baqiyatallah Research Center for Gastroentrology and Liver diseases http://creativecommons.org/licenses/by/3/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Danesh, Ahmad
Nedjat, Saharnaz
Asghari, Fariba
Jafarian, Ali
Fotouhi, Akbar
Organ Allocation for Liver Transplantation According to the Public Opinion
title Organ Allocation for Liver Transplantation According to the Public Opinion
title_full Organ Allocation for Liver Transplantation According to the Public Opinion
title_fullStr Organ Allocation for Liver Transplantation According to the Public Opinion
title_full_unstemmed Organ Allocation for Liver Transplantation According to the Public Opinion
title_short Organ Allocation for Liver Transplantation According to the Public Opinion
title_sort organ allocation for liver transplantation according to the public opinion
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3475021/
https://www.ncbi.nlm.nih.gov/pubmed/23087752
http://dx.doi.org/10.5812/hepatmon.6183
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