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ArticleCanadian journal of kidney health and disease2025

Canadian Kidney Transplant Recipients', Transplant Candidates', and Caregivers' Perspectives on Precision Medicine and Molecular Matching in Kidney Allocation: A Qualitative Analysis.

Fabian Ballesteros, Aliya Affdal, Mohamad Issa, Marie-Françoise Malo, Savannah-Lou Cochran-Mavrikakis, Carina Sancho, Stirling Bryan, Paul Keown, Ruth Sapir-Pichhadze, Marie-Chantal Fortin

Abstract read
In one paragraph

Article in Canadian journal of kidney health and disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

10 authors.

Fabian BallesterosCentre hospitalier de l'Université de Montréal, QC, Canada.
Aliya AffdalBioethics Program, École de santé publique de l'Université de Montréal, QC, Canada.
Mohamad IssaFaculté de médecine et des sciences de la santé, Université de Sherbrooke, QC, Canada.ORCID https://orcid.org/0009-0001-8187-4521
Marie-Françoise MaloBioethics Program, École de santé publique de l'Université de Montréal, QC, Canada.
Savannah-Lou Cochran-MavrikakisDepartment of Philosophy, Université de Montréal, QC, Canada.
Carina SanchoCentre de recherche du Centre hospitalier de l'Université de Montréal, QC, Canada.
Stirling BryanSchool of Population and Public Health, University of British Columbia, Vancouver, BC, Canada.
Paul KeownFaculty of Medicine, University of British Columbia, Vancouver, BC, Canada.
Ruth Sapir-PichhadzeCanadian Donation and Transplantation Research Program, Edmonton, AB, Canada.ORCID https://orcid.org/0000-0003-0745-004X
Marie-Chantal FortinCentre hospitalier de l'Université de Montréal, QC, Canada.ORCID https://orcid.org/0000-0002-8437-0556

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Antibody-mediated rejection (AMR) is an important cause of kidney transplant loss. A new strategy requiring application of precision medicine tools in transplantation considers molecular compatibility between donors and recipients and holds the promise of improved immunologic risk, preventing rejection and premature graft loss. Objective: The objective of this study was to gather patients' and caregivers' perspectives on molecular compatibility in kidney transplantation. Design: Individual semi-structured interviews. Setting: The Centre hospitalier de l'Université de Montréal (CHUM) and McGill University Health Centre (MUHC) kidney transplant programs. Participants: Kidney transplant candidates, kidney transplant recipients, and caregivers. Methods: Twenty-seven participants took part in semi-structured interviews between July 2020 and November 2021. The interviews were digitally recorded, transcribed, and analyzed using the qualitative description approach. Results: Participants had different levels of knowledge about the kidney allocation process. They expressed trust in the system and healthcare professionals. They indicated that a fair organ allocation system should strive to maximize graft survival as it would decrease the demand for deceased donor kidneys and allow more patients to access transplantation. Molecular matching and precision medicine were seen as important improvements in the kidney transplant allocation process given their potential to improve graft survival and decrease the need for retransplantation. However, participants were concerned about increased waiting times that may negatively impact some patients upon implementation of molecular matching. To address these concerns, participants suggested integrating safeguards in the form of maximum waiting time for molecularly matched kidneys. Limitations: This study was conducted in the province of Quebec most of the participants were white and highly educated. Consequently, the results could not be generalizable to other populations, including ethnic minorities. Conclusions: Molecular matching and precision medicine are viewed as promising technologies for decreasing the incidence of AMR and improving graft survival. However, further studies are needed to determine how to ethically integrate this technology into the kidney allocation scheme. Trial registration: Not registered.

Indexed as

kidney allocationkidney transplantationmolecular matchingprecision medicinequalitative study

Identifiers

PMID40417412
PMCPMC12102556

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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.