ArticleAmerican journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons2019
Excluding patients from transplant due to social support: Results from a national survey of transplant providers.
Article in American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
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Who cites it
36 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Non-medical barriers reported by nephrologists when providing renal replacement therapy or comprehensive conservative management to end-stage kidney disease patients: a systematic review.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2021Pooled it
- From Assessment to Action: A Research Prototype for SIPAT-Based Multidomain Psychosocial Visualization and Prioritization in Lung Transplant Candidates.Journal of clinical medicine · 2026Article
- Perspectives of Caregivers of Kidney Transplant Recipients and Transplant Candidates About Kidneys From Donors With Hepatitis C Virus Infection.Kidney medicine · 2026Article
- Psychosocial challenges with transplantation.Current opinion in pulmonary medicine · 2026Review
- Factors Influencing the Prognostic Assessment of Patients with End-Stage Alcohol-Associated Liver Disease before Liver Transplantation.European addiction research · 2026Article
- Examining Transparency in Kidney Transplant Recipient Selection Criteria: Nationwide Cross-Sectional Study.JMIR AI · 2025Article
- Barriers and facilitators of integrating telemedicine services into routine kidney transplant patient care: a scoping review of qualitative research.Journal of health, population, and nutrition · 2025Article
- Article
- Policy innovations to advance equity in solid organ transplantation.Lancet (London, England) · 2025Review
- Exploring Caregiver Support as a Potential Mediator of Neighborhood Socioeconomic Disadvantage and Reduced Likelihood of Liver Transplant Waitlisting.Transplantation direct · 2025Article
- Ensuring equity in psychosocial risk assessment for solid organ transplantation: a review.Current opinion in organ transplantation · 2025Review
- The African American Transplant Access Program: Mitigating Disparities in Solid Organ Transplantation.NEJM catalyst innovations in care delivery · 2024Article
- Recentering Accountability for Disparities in Kidney Transplant Access.Journal of the American Society of Nephrology : JASN · 2024Article
- Ethical and Psychosocial Factors in the Decision-Making and Informed Consent Process for Upper Extremity Vascularized Composite Allotransplantation: A Mixed-Methods Study.Transplantation direct · 2023Article
- Disparities in Adult Patient Selection for Extracorporeal Membrane Oxygenation in the United States: A Population-Level Study.Annals of the American Thoracic Society · 2023Article
- Sociodemographic Disparities in Extracorporeal Membrane Oxygenation Use: Shedding Light on Codified Systemic Biases.Annals of the American Thoracic Society · 2023Article
- Homelessness, organ donation, transplantation, and a call for equity in the United States.Lancet regional health. Americas · 2023Review
- Partnering with charity-care services to manage cirrhosis with ascites in an adult experiencing homelessness: A case report.Clinical case reports · 2023Article
- A Conceptual Model for Sources of Differential Selection in Lung Transplant Allocation.Annals of the American Thoracic Society · 2023Article
- The Mediating Role of Self-Perceived Burden Between Social Support and Fear of Progression in Renal Transplant Recipients: A Multicenter Cross-Sectional Study.Psychology research and behavior management · 2023Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
Social support is used to determine transplant eligibility despite lack of an evidence base and vague regulatory guidance. It is unknown how many patients are disqualified from transplantation due to inadequate support, and whether providers feel confident using these subjective criteria to determine eligibility. Transplant providers (n = 551) from 202 centers estimated that, on average, 9.6% (standard deviation = 9.4) of patients evaluated in the prior year were excluded due to inadequate support. This varied significantly by United Network for Organ Sharing region (7.6%-12.2%), and by center (21.7% among top quartile). Significantly more providers used social support in listing decisions than believed it ought to be used (86.3% vs 67.6%). Nearly 25% believed that using social support in listing determinations was unfair or were unsure; 67.3% felt it disproportionately impacted patients of low socioeconomic status. Overall, 42.4% were only somewhat or not at all confident using social support to determine transplant suitability. Compared to surgical/medical transplant providers, psychosocial providers had 2.13 greater odds of supporting the criteria (P = .03). Furthermore, 69.2% supported revised guidelines for use of social support in listing decisions. Social support criteria should be reconsidered in light of the limited evidence, potential for disparities, practice variation, low provider confidence, and desire for revised guidelines.
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