Risk för orättvis prioritering av patienter vid njurtransplantation. En enda nationell väntelista bör införas, visar studie av svensk praxis
Engelsk titel: Risk of unfair prioritization of patients in need of renal transplantation. One single national waiting list should be introduced, as shown in study
of Swedish practice
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Författare:
Omar, Faisal
;
Tinghög, Gustav
;
Carlsson, Per
;
Welin, Stellan
Email: stellan.welin@liu.se
Språk: Swe
Antal referenser: 7
Dokumenttyp:
Artikel
UI-nummer: 14107346
Sammanfattning
In order to investigate the fairness of the priority setting process underpinning Swedish kidney transplantation in reference to the
Accountability for Reasonableness (A4R) framework, 15 interviews with transplant surgeons, nephrologists, and coordinators were carried out. The
factors described by interviewees and the values they rest on satisfy the relevance criterion of the A4R. Two potential sources for unfair
inequalities were identified, namely the use of clinical judgements and varying institutional policies among different centres. It is recommended
that factors and values used in the priority process are made more public. Sweden should also consider a national, centralised system for
allocation of kidneys and not rely on present day local allocation.