Abstract
Understanding Barriers and Strategies to Increase Pancreas Transplantation: A Delphi Survey of US Transplant Professionals: TH-PO898
Journal of the American Society of Nephrology, Vol.34(11S), pp.342-342
11/2023
DOI: 10.1681/ASN.20233411S1342c
Abstract
Background:
To better understand barriers to expanding U.S. pancreas transplantation (PTx) practice, and the anticipated impact and feasibility of potential strategies to address, we conducted a modified Delphi survey of professional and patient stakeholders.
Methods:
An electronic survey was distributed to 53 stakeholders, including surgeons, nephrologists, endocrinologists, OPO professionals, and patients, who participated in a national workshop in Boston, MA (distrubution: 6/25/22-8/14/22) Participants ranked the importance of 16 barriers to PTx, and the anticipated feasibility and impact of associated strategies, using 9-point Likert scales. Consensus was defined a priori as when ≤30% responded outside an item’s Interquartile Range (IQR).
Results:
Of 16 analyzed barriers, 8 met consensus as ‘very important’, incl.: candidate medical and psychosocial complexity, inadequacy of available tools to assess and transmit quality information, allocation delays, financial barriers, inadequate provider and patient education, and insufficient number of trained surgeons. While no strategy met consensus as ‘very feasible’, 15 strategies met consensus as ‘very impactful’ (Table: Highest Impact X Feasibility subset). 1 strategy was ranked as both ‘very important’ and ‘very feasible’: OPOs should provide real-time access to allograft imaging to improve acceptance decisions.
Conclusions:
While stakeholders generally agree on barriers to PTx utilization, a diversity of strategies may be impactful and feasible, including focus on improving organ assessment, logistics of the organ recovery operation and allocation, and mitigation of financial disincentives for organ utilization.
Details
- Title: Subtitle
- Understanding Barriers and Strategies to Increase Pancreas Transplantation: A Delphi Survey of US Transplant Professionals: TH-PO898
- Creators
- Krista L. Lentine - Saint Louis UniversityKennan R. Maher - Saint Louis UniversityKenneth J. Woodside - Gift of Life MichiganRonald Parsons - Emory UniversityMatthew Cooper - Froedtert HospitalDarshana M. Dadhania - Cornell UniversityMona D. Doshi - University of Michigan–Ann ArborRachel C. Forbes - Vanderbilt UniversityMartha Pavlakis - Lahey Medical CenterNeeraj Singh - Willis-Knighton Cancer CenterDeirdre L. Sawinski - Cornell UniversityDavid Axelrod - University of Iowa
- Resource Type
- Abstract
- Publication Details
- Journal of the American Society of Nephrology, Vol.34(11S), pp.342-342
- DOI
- 10.1681/ASN.20233411S1342c
- ISSN
- 1046-6673
- eISSN
- 1533-3450
- Language
- English
- Date published
- 11/2023
- Academic Unit
- Surgery
- Record Identifier
- 9984643756202771
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