Evidence map›Paper›PMID 36472763›Full record

ArticleJournal of bioethical inquiry2023

Counselling, Research Gaps, and Ethical Considerations Surrounding Pregnancy in Solid Organ Transplant Recipients.

Deirdre Sawinski, Steven J Ralston, Lisa Coscia, Christina L Klein, Eileen Y Wang, Paige Porret, Kathleen O'Neill, Ana S Iltis

Abstract read
PubMed Publisher
In one paragraph

Article in Journal of bioethical inquiry, 2023. 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 19% 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, 7 citations in OpenAlex.

  1. Reproductive health in the liver transplant recipient.Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society · 2026
    Review
  2. Review
  3. "The Danger of Words": Language Games in Bioethics.Journal of bioethical inquiry · 2023
    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

8 authors at 6 institutions in 1 country.

Deirdre SawinskiNephrology and Transplantation, Weill Cornell Medical College, New York, NY, USA. dls7001@med.cornell.edu.
Steven J RalstonDepartment of Obstetrics and Gynecology, Pennsylvania Hospital, Philadelphia, PA, USA.
Lisa CosciaGift of Life Institute, Transplant Pregnancy Registry (TPR) International, Philadelphia, PA, USA.
Christina L KleinDepartment of Transplantation, Piedmont Transplant Institute, Piedmont Atlanta Hospital, Atlanta, GA, USA.
Eileen Y WangDepartment of Obstetrics and Gynecology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
Paige PorretDepartment of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.
Kathleen O'NeillDepartment of Obstetrics and Gynecology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
Ana S IltisCenter for Bioethics, Health and Society, Wake Forest University, Winston-Salem, NC, USA.ORCID 0000-0003-0624-3022
University of Pennsylvania · USCornell University · USPennsylvania Hospital · USPiedmont Atlanta Hospital · USUniversity of Alabama at Birmingham · USWake Forest University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Survival after solid-organ transplantation has improved significantly, and many contemporary transplant recipients are of childbearing potential. There are limited data to guide decision-making surrounding pregnancy after transplantation, variations in clinical practice, and significant knowledge gaps, all of which raise significant ethical issues. Post-transplant pregnancy is associated with an increased risk of maternal and fetal complications. Shared decision-making is a central aspect of patient counselling but is complicated by significant knowledge gaps. Stakeholder interests can be in conflict; exploring these tensions can help patients to evaluate their options and inform their deliberations. We argue that uniform, evidence-based recommendations for pregnancy after solid organ transplantation are needed. Conducting research, including patient-engaged studies, in this area should be priority for the transplant community.

Indexed as

Organ TransplantationTransplant RecipientsCounselingEvidence GapsFemaleFetusHumansPregnancyEthicsHeart transplantationKidney transplantationLiver transplantationLung transplantationPregnancy

Identifiers

PMID36472763
OpenAlexW4310777999

What OpenQuestion holds

Textmetadata
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.