Posts Tagged ‘transplant’

June 21, 2013

Is there an association between immunosuppressant therapy medication adherence and depression, quality of life, and personality traits in the kidney and liver transplant population?


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In the following study, researchers measured the association of transplant patients’ personality, depression, and quality of life with medication adherence in a cross-sectional group of kidney and liver transplant recipients greater than 1 year post-transplant.86 kidney and 50 liver transplant patients completed the surveys. Results found kidney transplant patients who exhibited “low openness” scores were […]

No Comments Posted in Liver Transplantation, Renal Transplantation
April 1, 2013

Impact of Consideration of Transplantation on End-of-Life Care for Patients During a Terminal Hospitalization


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The researchers of this study looked at how consideration of transplantation affects the end-of-life care received by patients. An evaluation of the care provided was undertaken by abstracting medical records for 496 adults who died in one transplant medical center between April 2005 and April 2006. The quality indicators measured were chosen from the Assessing […]

No Comments Posted in Cardiac Transplantation, Liver Transplantation, Lung Transplantation, Renal Transplantation, Uncategorized
April 14, 2012

Nudge, nudge or shove, shove – the right way for nudges to increase the supply of donated cadaver organs


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This article advocates the use of “nudges” to increase the supply of donated organs.  A nudge is “any aspect of the choice architecture that alters people’s behavior in a predictable way without forbidding any options or significantly changing their economic incentives” eg. changing the sign on a waste receptacle from “waste” to “landfill” to encourage […]

No Comments Posted in Cardiac Transplantation, Intestinal Transplantation, Liver Transplantation, Lung Transplantation, Pancreas Transplantation, Renal Transplantation
April 14, 2012

The dead donor rule and means-end reasoning–a reply to Gardiner and Sparrow


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Gardiner and Sparrow argued in a 2010 article that the pre-mortem procedures as typically used in donation after cardiac death (DCD) protocols violate a proper understanding of the dead donor rule (DDR). Napier argues that whether or not particular pre-mortem interventions violate this condition of respect for the donor will depend on whether they are […]

No Comments Posted in Cardiac Transplantation, Intestinal Transplantation, Liver Transplantation, Lung Transplantation, Pancreas Transplantation, Renal Transplantation
April 14, 2012

Should we allow organ donation euthanasia? Alternatives for maximizing the number and quality of organs for transplantation


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The authors promote a concept that is initially shocking- that organ donation euthanasia would be a rational improvement over current practice regarding withdrawal of life support. They argue that there are several untested methods of increasing organ donation, including euthanasia, and that patients should be given the choice of whether and how they would like […]

No Comments Posted in Cardiac Transplantation, Intestinal Transplantation, Liver Transplantation, Lung Transplantation, Pancreas Transplantation, Renal Transplantation
April 14, 2012

Potential limitations of presumed consent legislation


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The authors attempt to challenge the belief that presumed consent results in higher rates of deceased donation. They interviewed 15 participants from 13 countries with presumed consent legislation and found that: (1) donation was always discussed with family; (2) content of family discussion varied; (3) donation would not proceed if family objected; and (4) other […]

No Comments Posted in Cardiac Transplantation, Intestinal Transplantation, Liver Transplantation, Lung Transplantation, Pancreas Transplantation, Renal Transplantation
April 14, 2012

Penny wise, pound foolish? Coverage limits on immunosuppression after kidney transplantation


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This short piece encourages Americans to support passage of The Comprehensive Immunosuppressive Drug Coverage for Kidney Transplant Patients Act of 2011 (H.R. 2969), currently before Congress, which could extend the coverage for immune suppressants from the current 3 years provided by Medicare to lifelong coverage. The piece clearly articulates what many of us have seen […]

No Comments Posted in Renal Transplantation