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Provider Response to a Rare but Highly Publicized Transmission of HIV Through Solid Organ Transplantation

Provider Response to a Rare but Highly Publicized Transmission of HIV Through Solid Organ... ORIGINAL ARTICLE Provider Response to a Rare but Highly Publicized Transmission of HIV Through Solid Organ Transplantation Lauren M. Kucirka, ScM; R. Lorie Ros, ScM; Aruna K. Subramanian, MD; Robert A. Montgomery, MD, DPhil; Dorry L. Segev, MD, PhD Objective: On November 13, 2007, the first reported Results: Among surgeons who responded to the survey, case in 20 years of HIV (human immunodeficiency vi- 31.6% changed their practice following the event. Also, rus) transmission from a Centers for Disease Control and 41.7% decreased use of HRDs, 34.5% increased emphasis Prevention high-risk donor (HRD) made national head- on informed consent, 16.7% increased use of nucleic acid lines. We sought to characterize change in the practice testing, and 6.0% implemented a formal policy. Ranking of transplant surgeons resulting from this rare event. fear of being sued or hospital pressure as important dis- incentives to HRD use was associated with more than 2-fold Design: We performed a survey between January 17, higher odds of changing practice. Ranking medical risks 2008, and April 15, 2008, assessing attitudes and prac- of HIV as an important disincentive was associated with tices of transplant surgeons regarding HRDs. Descrip- 8.29-fold higher odds of decreasing HRD use. tions http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Surgery American Medical Association

Provider Response to a Rare but Highly Publicized Transmission of HIV Through Solid Organ Transplantation

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Publisher
American Medical Association
Copyright
Copyright 2011 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6254
eISSN
2168-6262
DOI
10.1001/archsurg.2010.303
pmid
21242444
Publisher site
See Article on Publisher Site

Abstract

ORIGINAL ARTICLE Provider Response to a Rare but Highly Publicized Transmission of HIV Through Solid Organ Transplantation Lauren M. Kucirka, ScM; R. Lorie Ros, ScM; Aruna K. Subramanian, MD; Robert A. Montgomery, MD, DPhil; Dorry L. Segev, MD, PhD Objective: On November 13, 2007, the first reported Results: Among surgeons who responded to the survey, case in 20 years of HIV (human immunodeficiency vi- 31.6% changed their practice following the event. Also, rus) transmission from a Centers for Disease Control and 41.7% decreased use of HRDs, 34.5% increased emphasis Prevention high-risk donor (HRD) made national head- on informed consent, 16.7% increased use of nucleic acid lines. We sought to characterize change in the practice testing, and 6.0% implemented a formal policy. Ranking of transplant surgeons resulting from this rare event. fear of being sued or hospital pressure as important dis- incentives to HRD use was associated with more than 2-fold Design: We performed a survey between January 17, higher odds of changing practice. Ranking medical risks 2008, and April 15, 2008, assessing attitudes and prac- of HIV as an important disincentive was associated with tices of transplant surgeons regarding HRDs. Descrip- 8.29-fold higher odds of decreasing HRD use. tions

Journal

JAMA SurgeryAmerican Medical Association

Published: Jan 1, 2011

References