ArticleJournal of medical ethics2018
How important is social support in determining patients' suitability for transplantation? Results from a National Survey of Transplant Clinicians.
Article in Journal of medical ethics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
What it found
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it, 52 citations in OpenAlex.
- The Evolving Landscape of Discrete Choice Experiments in Health Economics: A Systematic Review.PharmacoEconomics · 2025Pooled it
- Effectiveness of a culturally competent care intervention in reducing disparities in Hispanic live donor kidney transplantation: A hybrid trial.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2022Trial
- A National Survey of Transplant Social Workers on Social Support Assessment and Intervention Practices.Progress in transplantation (Aliso Viejo, Calif.) · 2026Article
- Investigation of adherence to immunosuppressive therapy and perceived social support in organ recipients.European journal of medical research · 2025Article
- Evaluating Challenges in Access To Transplantation for Persons with HIV.Current HIV/AIDS reports · 2025Review
- The role of attachment and parental bonding in the psychosocial assessment of transplant candidates: a cross-sectional study.BMC psychology · 2025Article
- The African American Transplant Access Program: Mitigating Disparities in Solid Organ Transplantation.NEJM catalyst innovations in care delivery · 2024Article
- Racial Disparities in Access to the Kidney Transplant Waitlist Among People with Human Immunodeficiency Virus.AIDS patient care and STDs · 2023Article
- Critical interactions between race and the highly granular area deprivation index in liver transplant evaluation.Clinical transplantation · 2023Article
- Racial Disparities in Coronavirus Disease 2019 Mortality Are Present in Heart Transplant Recipients.The Annals of thoracic surgery · 2023Article
- Representation of Women in Contemporary Kidney Transplant Trials.Transplant international : official journal of the European Society for Organ Transplantation · 2023Article
- Setting Organ Allocation Priorities: A Discrete Choice Experiment with German Patients and Their Relatives.Patient preference and adherence · 2023Article
- Defining the ethical considerations surrounding kidney transplantation for frail and cognitively impaired patients: a Delphi study of geriatric transplant experts.BMC geriatrics · 2022Article
- Living Kidney Donation Stories and Advice Shared Through a Digital Storytelling Library: A Qualitative Thematic Analysis.Kidney medicine · 2022Article
- Implicit bias and the gender inequity in liver transplantation.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2022Article
- A Cascade of Structural Barriers Contributing to Racial Kidney Transplant Inequities.Advances in chronic kidney disease · 2021Review
- Pre-Transplant Marital Status and Hematopoietic Cell Transplantation OutcomesCurrent oncology (Toronto, Ont.) · 2020Article
- Insights Into the Experience of Liver Transplant Recipients With Alcoholic Liver Disease: A Descriptive Qualitative Study.Transplantation direct · 2019Article
- Psychosocial Support in Liver Transplantation: A Dyadic Study With Patients and Their Family Caregivers.Frontiers in psychology · 2019Article
- Factors Considered by Nephrologists in Excluding Patients from Kidney Transplant Referral.International journal of organ transplantation medicine · 2019Article
Corrections and comments
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Authors and funding
8 authors at 6 institutions in 1 country.
Funding
Abstract
backgroundNational guidelines require programmes use subjective assessments of social support when determining transplant suitability, despite limited evidence linking it to outcomes. We examined how transplant providers weigh the importance of social support for kidney transplantation compared with other factors, and variation by clinical role and personal beliefs.
methodsThe National survey of the American Society of Transplant Surgeons and the Society of Transplant Social Work in 2016. Using a discrete choice approach, respondents compared two hypothetical patient profiles and selected one for transplantation. Conditional logistic regression estimated the relative importance of each factor; results were stratified by clinical role (psychosocial vs medical/surgical providers) and beliefs (outcomes vs equity).
resultsFive hundred and eighy-four transplant providers completed the survey. Social support was the second most influential factor among transplant providers. Providers were most likely to choose a candidate who had social support (OR=1.68, 95% CI 1.50 to 1.86), always adhered to a medical regimen (OR=1.64, 95% CI 1.46 to 1.88), and had a 15 years life expectancy with transplant (OR=1.61, 95% CI 1.42 to 1.85). Psychosocial providers were more influenced by adherence and quality of life compared with medical/surgical providers, who were more influenced by candidates' life expectancy with transplant (p<0.05). For providers concerned with avoiding organ waste, social support was the most influential factor, while it was the least influential for clinicians concerned with fairness (p<0.05).
conclusionsSocial support is highly influential in listing decisions and may exacerbate transplant disparities. Providers' beliefs and reliance on social support in determining suitability vary considerably, raising concerns about transparency and justice.
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Registered trials
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.