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Type: Journal article
Title: Healthcare professional and community preferences in deceased donor kidney allocation: a best‐worst scaling survey
Author: Sypek, M.P.
Howell, M.
Howard, K.
Wong, G.
Duncanson, E.
Clayton, P.D.
Hughes P, P.
McDonald, S.
Citation: American Journal of Transplantation, 2022; 22(3):886-897
Publisher: Wiley
Issue Date: 2022
ISSN: 1600-6135
Statement of
Matthew P. Sypek, Martin Howell, Kirsten Howard, Germaine Wong, Emily Duncanson, Philip D. Clayton, ... et al.
Abstract: Deceased donor kidneys are a scarce community resource; therefore, the principles underpinning organ allocation should reflect societal values. This study aimed to elicit community and healthcare professional preferences for principles guiding the alloca-tion of kidneys from deceased donors and compare how these differed across the populations. A best-worst scaling survey including 29 principles in a balanced incom-plete block design was conducted among a representative sample of the general com-munity (n= 1237) and healthcare professionals working in transplantation (n= 206). Sequential best-worst multinomial logistic regression was used to derive scaled pref-erence scores (PS) (range 0–100). Thematic analysis of free text responses was per-formed. Five of the six most valued principles among members of the community related to equity, including priority for the longest waiting (PS 100), difficult to trans-plant (PS 94.5) and sickest (PS 93.9), and equitable access for men and women (PS 94.0), whereas the top four principles for healthcare professional focused on maximiz-ing utility (PS 89.9–100). Latent class analysis identified unmeasured class member-ship among community members. There are discordant views between community members and healthcare professionals. These should be considered in the design, evaluation, and implementation of deceased donor kidney allocation protocols.
Keywords: Clinical research; donors and donation; ethics; ethics and public policy; kidney transplantation; nephrology; organ allocation; organ procurement and allocation
Description: First published: 28 November 2021
Rights: © 2021 The American Society of Transplantation and the American Society of Transplant Surgeons
DOI: 10.1111/ajt.16898
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Appears in Collections:Psychology publications

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