Evidence map›Paper›PMID 34712782›Full record

ArticleTransplantation direct2021

The 3-T Model of Informed Consent for Nonstandard Risk Donors: A Proposal for Transplant Clinical Practice.

Alessandra Agnese Grossi, Federico Nicoli, Tullia Maria De Feo, Massimo Cardillo, Gabriella Biffa, Renzo Pegoraro, Carlo Petrini, Rosanna Torelli, Francesca Puoti, Giuseppe Rossini and 8 more

Open access · goldAbstract read
In one paragraph

Article in Transplantation direct, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.4field-weighted citation impact, top 18% of its field
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

3 citing papers in PubMed, 10 citations in OpenAlex.

  1. Refusal Rates to Organ Donation in Intensive Care Units Among Immigrant Populations in Italy.Transplant international : official journal of the European Society for Organ Transplantation · 2023
    Article
  2. Liver transplantation from active COVID-19 donors: Is it ethically justifiable?Transplant infectious disease : an official journal of the Transplantation Society · 2022
    Article
  3. 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

18 authors at 4 institutions in 2 countries.

Alessandra Agnese GrossiDepartment of Biotechnologies and Life Sciences, Center for Clinical Ethics, University of Insubria, Varese, Italy.
Federico NicoliDepartment of Biotechnologies and Life Sciences, Center for Clinical Ethics, University of Insubria, Varese, Italy.
Tullia Maria De FeoBioethics Work-Group, Northern Italy Transplant Program, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico di Milano, Milan, Italy.
Massimo CardilloItalian National Transplantation Center, Italian National Institute of Health, Rome, Italy.
Gabriella BiffaBioethics Work-Group, Northern Italy Transplant Program, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico di Milano, Milan, Italy.
Renzo PegoraroBioethics Work-Group, Northern Italy Transplant Program, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico di Milano, Milan, Italy.
Carlo PetriniBioethics Unit, Italian National Institute of Health, Rome, Italy.
Rosanna TorelliTransplant Coordination Reference Center, Northern Italy Transplant Program, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico di Milano, Milan, Italy.
Francesca PuotiItalian National Transplantation Center, Italian National Institute of Health, Rome, Italy.
Giuseppe RossiniBioethics Work-Group, Northern Italy Transplant Program, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico di Milano, Milan, Italy.
Giuseppe PiccoloBioethics Work-Group, Northern Italy Transplant Program, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico di Milano, Milan, Italy.
Sergio VesconiBioethics Work-Group, Northern Italy Transplant Program, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico di Milano, Milan, Italy.
Enrico MinettiNephrology Unit, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.
Barbara PozzoDepartment for Law, Economics, and Cultures, University of Insubria, Varese, Italy.
Giuseppe VanacoreItalian Association for Hemodialysis Patients and Transplantation, Milan, Italy.
David ParedesEuropean Donation and Transplant Coordination Organization, Padua, Italy.
Paolo Antonio GrossiItalian National Transplantation Center, Italian National Institute of Health, Rome, Italy.
Mario PicozziDepartment of Biotechnologies and Life Sciences, Center for Clinical Ethics, University of Insubria, Varese, Italy.
University of Insubria · ITOspedale Policlinico San Martino · ITPontifical Academy of Sciences · VARegione Lombardia

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe risk of disease transmission from nonstandard risk donors (NSRDs) is low, and outcomes are similar or better relative to transplants performed with standard criteria donors. However, NSRDs have posed new ethical challenges to the informed consent (IC) process. Based on the shared decision-making model, coinciding with the 3 main timings of the IC process ([1] pretransplant assessments and waiting list registration, [2] time on the waiting list, and [3] time of the organ offer), we put forward a model (3-T Model) to summarize the knowledge on IC for NSRDs and to deliver conceptual and practical support to transplant providers on this emergent issue.

methodsWe searched

resultsEach of the 3 timings carries special ethical significance and entails well-defined duties for transplant providers relative to patient involvement and information of the benefits and risks associated with NSRDs. Based on our framework, experience, and interpretation of the literature, we put forward a list of recommendations to combine standardization (ie, timing, content, and degree of patient participation) and individualization of IC.

conclusionsThe 3-T Model may enable the prevention of physicians' arbitrariness and the promotion of patient-centered care. Future studies will assess the effectiveness of the 3-T Model in transplant clinical practice.

Identifiers

PMID34712782
PMCPMC8547922
OpenAlexW3210404392

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.