ArticleThe American journal of bioethics : AJOB2019
Should Lack of Social Support Prevent Access to Organ Transplantation?
Article in The American journal of bioethics : AJOB, 2019. 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
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.
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.
Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Association between psychosocial factors and left ventricular assist device implant outcomes: A systematic review.General hospital psychiatryPooled 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
- Should Adherence to Medical Recommendations Be a Requirement for Kidney Transplant Candidacy?The American journal of bioethics : AJOB · 2026Article
- Development and Validation of a Machine Learning Model for Predicting Medication Adherence Among Home-Dwelling Elderly Patients: A Retrospective Cross-Sectional Study.Patient preference and adherence · 2026Article
- Psychosocial information sharing to improve equity in kidney transplant evaluation.Current opinion in organ transplantation · 2025Review
- Experience of Older Adults and Their Family Members in the Kidney Transplant Evaluation.JAMA internal medicine · 2025Article
- Ensuring equity in psychosocial risk assessment for solid organ transplantation: a review.Current opinion in organ transplantation · 2025Review
- Referral and Beyond: Restructuring the Kidney Transplant Process to Support Greater Access in the United States.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2024Article
- Reevaluating the Ethical Issues in Porcine-to-Human Heart Xenotransplantation.The Hastings Center report · 2022Article
- Caregiver COVID-19 vaccination for solid organ transplant candidates.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2022Article
- Defining the ethical considerations surrounding kidney transplantation for frail and cognitively impaired patients: a Delphi study of geriatric transplant experts.BMC geriatrics · 2022Article
- The Impact of Socio-Demographic Factors on the Functioning of Liver Transplant Patients.International journal of environmental research and public health · 2022Article
- A Critical Role for Shared Decision-Making about Referral and Evaluation for Kidney Transplant.Kidney360 · 2022Article
- Media use and organ donation willingness: A latent profile analysis from Chinese residents.Frontiers in public health · 2022Article
- Social support criteria in vascularized composite allotransplantation versus solid organ transplantation: Should the same ethical considerations apply?Frontiers in psychology · 2022Review
- A Cascade of Structural Barriers Contributing to Racial Kidney Transplant Inequities.Advances in chronic kidney disease · 2021Review
- Article
- Medication Adherence and Associated Factors in Patients With Type 2 Diabetes: A Structural Equation Model.Frontiers in public health · 2021Article
- Pediatric Deep Brain Stimulation for Dystonia: Current State and Ethical Considerations.Cambridge quarterly of healthcare ethics : CQ : the international journal of healthcare ethics committees · 2020Article
- A Little Digital Help: Advancing Social Support for Transplant Patients With Technology.The American journal of bioethics : AJOB · 2019Article
Corrections and comments
- Commented on by
- Commented on by
- Commented on by
- Commented on by
- Commented on by
- Commented on by
- Commented on by
- Commented on by
- Commented on by
- Commented on by
- Commented on by
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Transplantation programs commonly rely on clinicians' judgments about patients' social support (care from friends or family) when deciding whether to list them for organ transplantation. We examine whether using social support to make listing decisions for adults seeking transplantation is morally legitimate, drawing on recent data about the evidence-base, implementation, and potential impacts of the criterion on underserved and diverse populations. We demonstrate that the rationale for the social support criterion, based in the principle of utility, is undermined by its reliance on tenuous evidence. Moreover, social support requirements may reinforce transplant inequities, interfere in patients' personal relationships, and contribute to biased and inconsistent listing procedures. As such, accommodating the needs of patients with limited social support would better balance ethical commitments to equity, utility, and respect for persons in transplantation. We suggest steps for researchers, transplantation programs, and policymakers to improve fair use of social support in transplantation.
Indexed as
Identifiers
31647757What OpenQuestion holds
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.