Evidence map›Paper›PMID 34291148›Full record

ReviewTransplantation direct2021

Anonymous Living Liver Donation: Literature Review and Case Series Report.

Sarah Shan, Paola Vargas, Jakob Durden, Tara Seay, Tessa Williams, Emily Lyster, Anita Sites, Patrick Northup, Shawn Pelletier, Jose Oberholzer and 2 more

Abstract readReview
In one paragraph

Review in Transplantation direct, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Article
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  4. Review
  5. Article
  6. Review
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

12 authors.

Sarah ShanSchool of Medicine, University of Virginia, Charlottesville, VA.
Paola VargasDivision of Transplant Surgery, University of Virginia Health System, Charlottesville, VA.
Jakob DurdenSchool of Medicine, University of Virginia, Charlottesville, VA.
Tara SeayDivision of Transplant Surgery, University of Virginia Health System, Charlottesville, VA.
Tessa WilliamsDivision of Transplant Surgery, University of Virginia Health System, Charlottesville, VA.
Emily LysterDivision of Transplant Surgery, University of Virginia Health System, Charlottesville, VA.
Anita SitesDivision of Transplant Surgery, University of Virginia Health System, Charlottesville, VA.
Patrick NorthupDivision of Gastroenterology and Transplant Hepatology, University of Virginia Health System, Charlottesville, VA.
Shawn PelletierDivision of Transplant Surgery, University of Virginia Health System, Charlottesville, VA.
Jose OberholzerDivision of Transplant Surgery, University of Virginia Health System, Charlottesville, VA.
Curtis ArgoDivision of Gastroenterology and Transplant Hepatology, University of Virginia Health System, Charlottesville, VA.
Nicolas GoldaracenaDivision of Transplant Surgery, University of Virginia Health System, Charlottesville, VA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAnonymous living liver donations (ALLDs) raise ethical concerns regarding the donors' motivations. Thus, ALLDs are not as widely accepted as directed donations from friends and family. Literature on ALLDs is limited. Understanding this particular group of individuals is crucial, as they could further help mitigate the shortage of liver grafts worldwide.

methodsA literature review was performed to identify current definitions, ethical considerations, different approaches, and barriers to ALLD worldwide. Furthermore, we present our current experience after the establishment of a protocol to enable an ALLD program in our center and surveyed potential donors to better understand their motives throughout the process.

resultsLiterature regarding ALLD is scarce. Canada leads the experience with the majority of case reports published to date. Survey-based evaluation of this unique group of individuals reflects the selflessness nature of anonymous living donors and shows that most of them experience the donation as a positive and life-changing event. In our experience, 41 individuals initiated the process of ALLD during the study period. Most were lost to follow-up or deemed ineligible. Five candidates fully completed the donation process and successfully underwent living liver donation. Given that 2 candidates have a follow-up period <3 mo from donation, we have only included data on the first 3 donors in this analysis. Eight individuals (19.5%) responded to the survey with respondents sharing similar reasons for initiating ALLD but varied and multifactorial reasons for terminating.

conclusionsDifferent institutional protocols can be used to accomplish ALLD, including the one utilized by our institution. Adopting policies to allow for ALLDs and reducing modifiable factors that contribute to ending donation has the potential to increase grafts and decrease wait times.Supplemental Visual Abstract: http://links.lww.com/TP/C251.

Identifiers

PMID34291148
PMCPMC8288903

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LicenceCC BY-NC-ND
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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.