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Social support criteria in vascularized composite allotransplantation versus solid organ transplantation: Should the same ethical considerations apply?

The field of vascularized composite allotransplantation (VCA) is evolving, with some procedures poised to transition from highly experimental research toward standard of care. At present, the use of social support as an eligibility criterion for VCA candidacy is at the discretion of individual VCA p...

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Autores principales: Kimberly, Laura L., Onuh, Ogechukwu C., Thys, Erika, Rodriguez, Eduardo D.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9723137/
https://www.ncbi.nlm.nih.gov/pubmed/36483709
http://dx.doi.org/10.3389/fpsyg.2022.1055503
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author Kimberly, Laura L.
Onuh, Ogechukwu C.
Thys, Erika
Rodriguez, Eduardo D.
author_facet Kimberly, Laura L.
Onuh, Ogechukwu C.
Thys, Erika
Rodriguez, Eduardo D.
author_sort Kimberly, Laura L.
collection PubMed
description The field of vascularized composite allotransplantation (VCA) is evolving, with some procedures poised to transition from highly experimental research toward standard of care. At present, the use of social support as an eligibility criterion for VCA candidacy is at the discretion of individual VCA programs, allowing VCA teams to consider the unique needs of each potential candidate. Yet this flexibility also creates potential for bias during the evaluation process which may disproportionately impact members of certain communities where social configurations may not resemble the model considered “optimal.” We examine the extent to which ethical considerations for social support in solid organ transplantation (SOT) may be applied to or adapted for VCA, and the ethically meaningful ways in which VCA procedures differ from SOT. We conclude that VCA programs must retain some flexibility in determining criteria for candidacy at present; however, considerations of equity will become more pressing as VCA procedures evolve toward standard of care, and further empirical evidence will be needed to demonstrate the association between social support and post-operative success. The field of VCA has an opportunity to proactively address considerations of equity and justice and incorporate fair, inclusive practices into this innovative area of transplantation.
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spelling pubmed-97231372022-12-07 Social support criteria in vascularized composite allotransplantation versus solid organ transplantation: Should the same ethical considerations apply? Kimberly, Laura L. Onuh, Ogechukwu C. Thys, Erika Rodriguez, Eduardo D. Front Psychol Psychology The field of vascularized composite allotransplantation (VCA) is evolving, with some procedures poised to transition from highly experimental research toward standard of care. At present, the use of social support as an eligibility criterion for VCA candidacy is at the discretion of individual VCA programs, allowing VCA teams to consider the unique needs of each potential candidate. Yet this flexibility also creates potential for bias during the evaluation process which may disproportionately impact members of certain communities where social configurations may not resemble the model considered “optimal.” We examine the extent to which ethical considerations for social support in solid organ transplantation (SOT) may be applied to or adapted for VCA, and the ethically meaningful ways in which VCA procedures differ from SOT. We conclude that VCA programs must retain some flexibility in determining criteria for candidacy at present; however, considerations of equity will become more pressing as VCA procedures evolve toward standard of care, and further empirical evidence will be needed to demonstrate the association between social support and post-operative success. The field of VCA has an opportunity to proactively address considerations of equity and justice and incorporate fair, inclusive practices into this innovative area of transplantation. Frontiers Media S.A. 2022-11-22 /pmc/articles/PMC9723137/ /pubmed/36483709 http://dx.doi.org/10.3389/fpsyg.2022.1055503 Text en Copyright © 2022 Kimberly, Onuh, Thys and Rodriguez. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Psychology
Kimberly, Laura L.
Onuh, Ogechukwu C.
Thys, Erika
Rodriguez, Eduardo D.
Social support criteria in vascularized composite allotransplantation versus solid organ transplantation: Should the same ethical considerations apply?
title Social support criteria in vascularized composite allotransplantation versus solid organ transplantation: Should the same ethical considerations apply?
title_full Social support criteria in vascularized composite allotransplantation versus solid organ transplantation: Should the same ethical considerations apply?
title_fullStr Social support criteria in vascularized composite allotransplantation versus solid organ transplantation: Should the same ethical considerations apply?
title_full_unstemmed Social support criteria in vascularized composite allotransplantation versus solid organ transplantation: Should the same ethical considerations apply?
title_short Social support criteria in vascularized composite allotransplantation versus solid organ transplantation: Should the same ethical considerations apply?
title_sort social support criteria in vascularized composite allotransplantation versus solid organ transplantation: should the same ethical considerations apply?
topic Psychology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9723137/
https://www.ncbi.nlm.nih.gov/pubmed/36483709
http://dx.doi.org/10.3389/fpsyg.2022.1055503
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