Public preferences for donor kidney allocation: a study in <scp>I</scp>ran

Asghari, Fariba; Broumand, Mohammadali; Heidari, Alireza

doi:10.1111/ctr.12207

Cited by 7 publications

(14 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Of the included studies, three had a qualitative design [30][31][32], and 12 had a quantitative design [33][34][35][36][37][38][39][40][41][42][43][44][45]. In the qualitative design, all studies performed focus group discussions.…”

Section: Search Results and Characteristics Of Included Studiesmentioning

confidence: 99%

“…Four studies asked the respondents only after one criterion with two different levels, and the respondents could choose between these two levels. Sometimes, there was a third option with no difference between the two criterion levels, indicating that this criterion should be irrelevant for the allocation [33][34][35]42]. One study by Browning and Thomas [35] used an additional ranking.…”

Section: Quantitative Studiesmentioning

confidence: 99%

“…Only three studies used a trade-off design of which two studies undertook a DCE [37,38]. Overall, better post-transplant life expectancy and younger age were the most important criteria [33][34][35][36][37][38][39][40][43][44][45]. For example, Chan et al [36] and Ratcliffe [39] showed that hypothetically, there were significantly more organs allocated to recipients who were younger and had a longer expected post-survival time.…”

Section: Quantitative Studiesmentioning

confidence: 99%

“…In studies where exclusive survival preferences were measured without age, a better expected post-survival was the most important allocation criterion [37,45]. Furthermore, five studies identified a longer waiting time as also being important [33,35,36,[38][39][40]. For example, in the study by Chan et al [36] the ranking identified that a better survival and younger age were the most important criteria.…”

Section: Quantitative Studiesmentioning

confidence: 99%

See 3 more Smart Citations

Systematic Review of Public Preferences for the Allocation of Donor Organs for Transplantation: Principles of Distributive Justice

Oedingen

Bartling

Mühlbacher

et al. 2019

Patient

View full text Add to dashboard Cite

Background Solid organ transplantation is the treatment of choice for organ failure, but donor organs are a scarce resource because of a large mismatch between supply and demand. This scarcity leads to an ethical dilemma, forcing priority setting in organ allocation to individual patients. Little is known about public preferences regarding priority setting in organ allocation. A systematic review was performed to review the existing evidence and provide an overview of the criteria and criterion levels in regard to ethical aspects of distributive justice. Methods The PubMed, Web of Science, EBSCO and PsycINFO databases were searched for literature published between January 2000 and December 2018. Only original studies were selected. The criteria were identified, extracted and grouped into a self-developed matrix according to the principles of distributive justice to ascertain public preferences. Results Overall, 9645 references were identified, and 15 studies were included. In total, 27 criteria clustered in seven theoryguided groups could be identified: "equality", "effectiveness/benefit", "medical urgency", "own fault", "value for society", "medical background" and "sociodemographic status". It was shown that not only a single principle but rather a combination of principles are relevant for the allocation. Therefore, a public propensity towards a rational utilitarian ethical model of allocation could be recognised. Conclusions The general public not only wanted to allocate organs mainly to those with a good probability of having a successful transplantation but also wanted to consider those who need an organ most urgently to prevent fatal consequences, resulting in unclear trade-offs between effectiveness/benefit and medical urgency. Public preferences for organ allocation are therefore complex, and data regarding clear trade-offs are still lacking.

show abstract

Section: Search Results and Characteristics Of Included Studiesmentioning

confidence: 99%

Section: Quantitative Studiesmentioning

confidence: 99%

Section: Quantitative Studiesmentioning

confidence: 99%

Section: Quantitative Studiesmentioning

confidence: 99%

See 2 more Smart Citations

Systematic Review of Public Preferences for the Allocation of Donor Organs for Transplantation: Principles of Distributive Justice

Oedingen

Bartling

Mühlbacher

et al. 2019

Patient

View full text Add to dashboard Cite

show abstract

“…However, most of the single studies ascertain public preferences with direct questionnaires, showing that the public wants to prioritise those with the most benefit, while also considering those with the highest urgency or longest waiting time. 14–18 …”

Section: Introductionmentioning

confidence: 99%

Public, medical professionals’ and patients’ preferences for the allocation of donor organs for transplantation: study protocol for discrete choice experiments

2018

View full text Add to dashboard Cite

IntroductionOrgan transplantation is the treatment of choice for patients with severe organ failure. Nevertheless, donor organs are a scarce resource resulting in a large mismatch between supply and demand. Therefore, priority-setting leads to the dilemma of how these scarce organs should be allocated and who should be considered eligible to receive a suitable organ. In order to improve the supply–demand mismatch in transplantation medicine, this study explores preferences of different stakeholders (general public, medical professionals and patients) for the allocation of donor organs for transplantation in Germany. The aims are (1) to determine criteria and preferences, which are relevant for the allocation of scarce donor organs and (2) to compare the results between the three target groups to derive strategies for health policy.Methods and analysisWe outline the study protocol for discrete choice experiments, where respondents are presented with different choices including attributes with varied attribute levels. They were asked to choose between these choice sets. First, systematic reviews will be conducted to identify the state of art. Subsequently, focus group discussions with the public and patients as well as expert interviews with medical professionals will follow to establish the attributes that are going to be included in the experiments and to verify the results of the systematic reviews. Using this qualitative exploratory work, discrete choice studies will be designed to quantitatively assess preferences. We will use a D-efficient fractional factorial design to survey a total sample of 600 respondents according to the public, medical professionals and patients each. Multinomial conditional logit model and latent class model will be analysed to estimate the final results.Ethics and disseminationThis study has received Ethics Approval from the Hannover Medical School Human Ethics Committee (Vote number: 7921_BO_K_2018). Findings will be disseminated through conference presentations, workshops with stakeholders and peer-reviewed journal articles.

show abstract

French People’s Views on the Allocation of Organs for Transplantation

Sastre

Sorum

Mullet

2021

Transplantation Proceedings

View full text Add to dashboard Cite

Public preferences for donor kidney allocation: a study in Iran

Abstract: This study disclosed other criteria in addition to the likelihood for successful transplantation-the patient's role in the development of their disease and patient age-which should be prioritization considerations.

Cited by 7 publications

References 11 publications

Systematic Review of Public Preferences for the Allocation of Donor Organs for Transplantation: Principles of Distributive Justice

Systematic Review of Public Preferences for the Allocation of Donor Organs for Transplantation: Principles of Distributive Justice

Public, medical professionals’ and patients’ preferences for the allocation of donor organs for transplantation: study protocol for discrete choice experiments

French People’s Views on the Allocation of Organs for Transplantation

Contact Info

Product

Resources

About