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Stakeholder prioritization preferences for individuals awaiting hip and knee arthroplasty.
Bone Joint J
January 2025
Institute of Applied Health Sciences, University of Aberdeen, Aberdeen, UK.
Aims: Prolonged waits for hip and knee arthroplasty have raised questions about the equity of current approaches to waiting list prioritization for those awaiting surgery. We therefore set out to understand key stakeholder (patient and surgeon) preferences for the prioritization of patients awaiting such surgery, in order to guide future waiting list redesign.
Methods: A combined qualitative/quantitative approach was used.
Change in Allocation Pattern of Pediatric Deceased Donor Kidneys Following the Implementation of a New Allocation Policy With Pediatric Priority in Korea.
Pediatr Transplant
February 2025
Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Background: The Organ Transplantation Act of Korea was amended to state that kidneys from deceased donors under age 19 (previously age 11) must be initially allocated to a waitlisted patient under age 19. The aim of this study was to analyze the change in allocation pattern of kidneys from pediatric donors following implementation of the new policy.
Methods: Data from the Korean Network for Organ Sharing database included donor and recipient information of kidney transplants from pediatric donors from October 2014 to September 2020.
Ensuring equity in psychosocial risk assessment for solid organ transplantation: a review.
Curr Opin Organ Transplant
February 2025
Department of Surgery.
Purpose Of Review: This review summarizes the different instruments for evaluating the psychosocial health of transplant candidates, the evidence demonstrating how these instruments relate to probability of transplant waitlisting and transplant outcomes, and the critical knowledge gaps that exist in the causal pathway between psychosocial health and clinical transplant trajectory.
Recent Findings: The current literature reveals that psychosocial assessments are a common reason for racial and ethnic minorities to be denied access to the transplant list. Given evidence that a lack of clinician consensus exists regarding the definition of, importance of, and reproducibility of psychosocial support evaluations, this facet of the holistic evaluation process may create a unique challenge for already vulnerable patient populations.
Model for Urgency for Liver Transplantation in Hepatocellular Carcinoma: A Practical Model to Prioritize Patients With Hepatocellular Carcinoma on the Liver Transplant Waiting List.
Gastroenterology
November 2024
Division of Gastroenterology and Hepatology, Stanford University, Palo Alto, California. Electronic address:
Background & Aims: Currently, patients with hepatocellular carcinoma (HCC) in the United States are assigned a uniform score relative to the median Model for End-Stage Liver Disease (MELD) at transplant after a minimum 6-month waiting period. The authors developed a risk stratification model for patients with HCC using the available and objective variables at time of listing.
Methods: Adult liver transplant candidates with approved HCC exception in the Organ Procurement and Transplantation Network database from 2015-2022 were identified.
Effectiveness of a digital health and financial incentive intervention to promote physical activity in patients with type 2 diabetes: study protocol for a randomised controlled trial with a nested qualitative study-ACTIVATE trial.
Trials
November 2024
Milton Keynes University Hospital NHS Foundation Trust, Milton Keynes, UK.
Background: The prevention of type 2 diabetes (T2DM) is recognised as a health care priority in the UK. In people living with T2DM, lifestyle changes (e.g.
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