Evidence map›Paper›PMID 27269968›Full record

ArticleSurgery2016

Live liver donors' information needs: A qualitative study of practical implications for informed consent.

Elisa J Gordon, Jack Mullee, Anton Skaro, Talia Baker

Abstract read
In one paragraph

Article in Surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Elisa J GordonCenter for Healthcare Studies, Feinberg School of Medicine, Northwestern University, Chicago, IL; Comprehensive Transplant Center, Feinberg School of Medicine, Northwestern University, Chicago, IL; Division of Transplantation, Department of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL. Electronic address: e-gordon@northwestern.edu.
Jack MulleeDepartment of Anthropology, University of Chicago, Chicago, IL.
Anton SkaroComprehensive Transplant Center, Feinberg School of Medicine, Northwestern University, Chicago, IL; Division of Transplantation, Department of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL.
Talia BakerDivision of Transplantation, Department of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL.

Funding

Quality of Informed Consent for Adult-to-Adult Living Donor Liver TransplantationR03DK091786 · NIDDK · NORTHWESTERN UNIVERSITY AT CHICAGO · PI GORDON, ELISA J · 2011 to 2012
$153k
NIDDK NIH HHS R03 DK091786
6 · The paper itself

Abstract

backgroundAs live donor liver transplantation is increasingly used to expand the donor pool, concerns remain regarding how best to obtain live liver donors' informed consent. This study assessed donors' information preferences and their perceptions of informed consent.

methodsCognitive interviews were conducted with donors by telephone about how knowledge items in a new survey instrument were material to informed consent, between November 2011 and April 2012. Thematic analysis was used to analyze qualitative data until reaching saturation.

resultsTwenty-nine liver donors participated (85% participation). Donors commonly reported being unable to understand or retain much information disclosed during education. Donors preferred information about major donation risks, eg, death and minor risks that would likely affect their daily lives, eg, wound infection. Donors expressed less interest in information about their rights, confidentiality, or the medical procedure itself. Donors' preferences varied regarding statistical information. Many perceived the disclosure of risk information to be excessive, and rationalized risks they believed to be uncommon or not serious. Donors were disappointed by the brevity of the postdonation hospital stay.

conclusionOur findings suggest that the complexity and volume of disclosed information during evaluation were difficult for donors to adequately comprehend. Donors' lack of appreciation for the seriousness of complications may undermine their ability to provide informed consent. Future research should develop effective methods of information delivery to enhance informed consent.

Indexed as

Informed ConsentLiver TransplantationPatient Education as TopicPatient PreferenceTissue and Organ ProcurementAdultDisclosureFemaleHealth LiteracyHumansLiving DonorsMaleMiddle AgedNeeds AssessmentSocioeconomic FactorsYoung Adult

Identifiers

PMID27269968
PMCPMC4975671

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.