Healthcare Worker Attitudes to Living Donation Prior to Planned Withdrawal of Care
Background and Aims:. This study assesses the attitudes of healthcare practitioners toward Living Donation Prior to Planned Withdrawal of Care (LD-PPW): the recovery of a living donor organ before withdrawal of life-sustaining measures in a patient who does not meet criteria for brain death, but for...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Health
2024-09-01
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| Series: | Annals of Surgery Open |
| Online Access: | http://journals.lww.com/10.1097/AS9.0000000000000468 |
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| author | Smruti Rath, MD Claire Luo, MD Laura Washburn, MD Matthew Brent Price, MD Matthew Goss, MD Priyanka Moolchandani, MD Sandra Parsons, PhD Abbas Rana, MD, FACS John Goss, MD, FACS Nhu Thao Nguyen Galván, MD, MPH, FACS |
| author_facet | Smruti Rath, MD Claire Luo, MD Laura Washburn, MD Matthew Brent Price, MD Matthew Goss, MD Priyanka Moolchandani, MD Sandra Parsons, PhD Abbas Rana, MD, FACS John Goss, MD, FACS Nhu Thao Nguyen Galván, MD, MPH, FACS |
| author_sort | Smruti Rath, MD |
| collection | DOAJ |
| description | Background and Aims:. This study assesses the attitudes of healthcare practitioners toward Living Donation Prior to Planned Withdrawal of Care (LD-PPW): the recovery of a living donor organ before withdrawal of life-sustaining measures in a patient who does not meet criteria for brain death, but for whom medical care toward meaningful recovery is deemed futile.
Methods:. An electronic survey was administered to 1735 members of the American Society of Transplant Surgeons mailing list with 187 responses (10.8%).
Results:. Data from this study revealed that 70% of responding practitioners agreed with LD-PPW due to principles of beneficence and autonomy. Also, 65% of participants felt confident in their ability to declare the futility of care and 70% felt that LD-PPW should be added as an option when registering to become an organ donor.
Conclusion:. Currently, nearly half of all donation after circulatory determination of death do not proceed to donation. LD-PPW has been proposed as an alternative procedure targeted at increasing the quality and quantity of transplantable organs while respecting the donor’s right to donate, though its implementation has been hindered by concerns over public and provider perception. This study revealed support for LD-PPW among healthcare practitioners as an alternative procedure to increase the quality and quantity of transplantable organs while respecting the donor’s right to donate. |
| format | Article |
| id | doaj-art-455763b35e4a400881f2165a99727f0a |
| institution | Kabale University |
| issn | 2691-3593 |
| language | English |
| publishDate | 2024-09-01 |
| publisher | Wolters Kluwer Health |
| record_format | Article |
| series | Annals of Surgery Open |
| spelling | doaj-art-455763b35e4a400881f2165a99727f0a2025-01-24T09:18:49ZengWolters Kluwer HealthAnnals of Surgery Open2691-35932024-09-0153e46810.1097/AS9.0000000000000468202409000-00025Healthcare Worker Attitudes to Living Donation Prior to Planned Withdrawal of CareSmruti Rath, MD0Claire Luo, MD1Laura Washburn, MD2Matthew Brent Price, MD3Matthew Goss, MD4Priyanka Moolchandani, MD5Sandra Parsons, PhD6Abbas Rana, MD, FACS7John Goss, MD, FACS8Nhu Thao Nguyen Galván, MD, MPH, FACS9From the * Department of Medicine, Icahn School of Medicine at Mount Sinai Hospital, New York, NY† Division of Abdominal Transplantation, Department of Psychological Sciences, Baylor College of Medicine, Houston, TX‡ Department of Surgery, University of Pittsburgh, Pittsburgh, PA† Division of Abdominal Transplantation, Department of Psychological Sciences, Baylor College of Medicine, Houston, TX§ Department of Psychological Sciences, McGovern Medical School at UT Health, Houston, TX∥ Department of Medicine, University of California Los Angeles, Los Angeles, CA¶ Department of Psychological Sciences, Rice University, Houston, TX.† Division of Abdominal Transplantation, Department of Psychological Sciences, Baylor College of Medicine, Houston, TX† Division of Abdominal Transplantation, Department of Psychological Sciences, Baylor College of Medicine, Houston, TX† Division of Abdominal Transplantation, Department of Psychological Sciences, Baylor College of Medicine, Houston, TXBackground and Aims:. This study assesses the attitudes of healthcare practitioners toward Living Donation Prior to Planned Withdrawal of Care (LD-PPW): the recovery of a living donor organ before withdrawal of life-sustaining measures in a patient who does not meet criteria for brain death, but for whom medical care toward meaningful recovery is deemed futile. Methods:. An electronic survey was administered to 1735 members of the American Society of Transplant Surgeons mailing list with 187 responses (10.8%). Results:. Data from this study revealed that 70% of responding practitioners agreed with LD-PPW due to principles of beneficence and autonomy. Also, 65% of participants felt confident in their ability to declare the futility of care and 70% felt that LD-PPW should be added as an option when registering to become an organ donor. Conclusion:. Currently, nearly half of all donation after circulatory determination of death do not proceed to donation. LD-PPW has been proposed as an alternative procedure targeted at increasing the quality and quantity of transplantable organs while respecting the donor’s right to donate, though its implementation has been hindered by concerns over public and provider perception. This study revealed support for LD-PPW among healthcare practitioners as an alternative procedure to increase the quality and quantity of transplantable organs while respecting the donor’s right to donate.http://journals.lww.com/10.1097/AS9.0000000000000468 |
| spellingShingle | Smruti Rath, MD Claire Luo, MD Laura Washburn, MD Matthew Brent Price, MD Matthew Goss, MD Priyanka Moolchandani, MD Sandra Parsons, PhD Abbas Rana, MD, FACS John Goss, MD, FACS Nhu Thao Nguyen Galván, MD, MPH, FACS Healthcare Worker Attitudes to Living Donation Prior to Planned Withdrawal of Care Annals of Surgery Open |
| title | Healthcare Worker Attitudes to Living Donation Prior to Planned Withdrawal of Care |
| title_full | Healthcare Worker Attitudes to Living Donation Prior to Planned Withdrawal of Care |
| title_fullStr | Healthcare Worker Attitudes to Living Donation Prior to Planned Withdrawal of Care |
| title_full_unstemmed | Healthcare Worker Attitudes to Living Donation Prior to Planned Withdrawal of Care |
| title_short | Healthcare Worker Attitudes to Living Donation Prior to Planned Withdrawal of Care |
| title_sort | healthcare worker attitudes to living donation prior to planned withdrawal of care |
| url | http://journals.lww.com/10.1097/AS9.0000000000000468 |
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