ArticleBMJ (Clinical research ed.)1998
Assessing priorities for allocation of donor liver grafts: survey of public and clinicians.
Article in BMJ (Clinical research ed.), 1998. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 2 of them syntheses 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
55 citing papers in PubMed, 2 syntheses or guidelines pooled it, 263 citations in OpenAlex.
- Systematic Review of the Relative Social Value of Child and Adult Health.PharmacoEconomics · 2024Pooled it
- Artificial and bioartificial support systems for liver failure.The Cochrane database of systematic reviews · 2004Pooled it
- 'Are smokers less deserving of expensive treatment? A randomised controlled trial that goes beyond official values'.BMC medical ethics · 2015Trial
- Long-term outcomes and temporal trends following liver transplantation for chronic liver disease in the intensive care unit.JHEP reports : innovation in hepatology · 2026Article
- Ethical frontiers in liver transplantation.World journal of transplantation · 2024Review
- Therapeutic Pipeline in Alcohol-Associated Liver Disease.Seminars in liver disease · 2023Review
- The evolution of the liver transplant candidate.Frontiers in transplantation · 2023Review
- Israeli Medical Experts' Knowledge, Attitudes, and Preferences in Allocating Donor Organs for Transplantation.International journal of environmental research and public health · 2022Article
- Ethical and allocation issues in liver transplant candidates with alcohol related liver disease.Translational gastroenterology and hepatology · 2022Review
- Twitter debate: controversies in liver transplantation.Frontline gastroenterology · 2022Article
- Public Perspectives on COVID-19 Vaccine Prioritization.JAMA network open · 2021Article
- Triage protocol for allocation of critical health resources during Covid-19 pandemic and public health emergencies. A narrative review.Acta bio-medica : Atenei Parmensis · 2020Review
- PRO: Patients With Alcoholic Hepatitis Should Be Considered for Liver Transplantation.Clinical liver disease · 2020Review
- Will my patients get their residence permit? A critical analysis of the ethical dilemmas involved in writing medical certificates for residence permits in France.BMC medical ethics · 2020Article
- Attitudes, knowledge, and preferences of the Israeli public regarding the allocation of donor organs for transplantation.Israel journal of health policy research · 2020Article
- Meeting Report: The Dallas Consensus Conference on Liver Transplantation for Alcohol Associated Hepatitis.Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society · 2020Article
- Liver Transplantation for Alcohol-Related Liver Disease (ARLD): An Update on Controversies and Considerations.Canadian journal of gastroenterology & hepatology · 2020Review
- Patients' Perspectives on Early Liver Transplantation in Alcohol-Related Liver Disease.Hepatology communications · 2019Article
- Severe acute alcoholic hepatitis and liver transplant: A never-ending mournful story.Clinical and molecular hepatology · 2018Review
- Liver transplantation and alcoholic liver disease: History, controversies, and considerations.World journal of gastroenterology · 2018Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo compare the priorities of the general public, family doctors, and gastroenterologists in allocating donor livers to potential recipients of liver allograft.
designRepresentative quota sampling of 1000 members of the general public and 200 family doctors, and a postal questionnaire of 100 gastroenterologists. SUBJECTS: Respondents were given eight hypothetical case histories (based on real patients) and asked to select recipients for four donor livers. Cases were selected to identify controversial areas such as extremes of age, misuse of alcohol, and intravenous drugs. Respondents were also asked to select the least deserving case and which of seven possible factors (time on waiting list, outcome, age, value to society, return to work, previous use of illicit drugs, and involvement of alcohol in the liver damage) should be used to select patients already listed for transplantation. Focus groups were also held to explore further the reasons for the choices given.
resultsThere were considerable differences between the three groups in the choice of the recipients, although alcohol use and antisocial behaviour always rated low. For selection of recipients the general public thought that, in decreasing order of importance, age, outcome, and time on the waiting list were the most important factors in selecting recipients; family doctors rated outcome, age, and likely work status after transplantation and the gastroenterologists outcome, work status, and non-involvement of alcohol in the cause of the liver disease as the most important factors.
conclusionsThe views of the public are at variance with those of clinicians. Further debate is required to ensure an equitable and appropriate distribution of a scarce resource.
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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.