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A Comprehensive Analysis of Litigation in Organ Transplantation for Allegations of Insufficient Policy Coverage, Discrimination and Malpractice.
Mago, Jacob; Tandon, Mihir; Koizumi, Naoru; Firlie, Marissa; Fang, Lauren; Serpico, Scott; Ortiz, Alejandro Chiodo; Inoue, Megumi; Baxter, Patrick Raymond; Yu, Yang; John, Monique; Abbas, Kassem-Ali Jihad; Dinka, Liban; Ekwenna, Obi; Li, Meng-Hao; Ortiz, Jorge.
Afiliação
  • Mago J; Albany Medical Center, Albany, NY, USA.
  • Tandon M; Albany Medical Center, Albany, NY, USA.
  • Koizumi N; George Mason University, Fairfax, VA, USA.
  • Firlie M; George Washington University, Washington, DC, USA.
  • Fang L; University of Toledo Medical Center, OH, USA.
  • Serpico S; Pennsylvania College of Osteopathic Medicine, Philadelphia, PA, USA.
  • Ortiz AC; Albany Medical Center, Albany, NY, USA.
  • Inoue M; George Mason University, Fairfax, VA, USA.
  • Baxter PR; George Mason University, Fairfax, VA, USA.
  • Yu Y; George Mason University, Fairfax, VA, USA.
  • John M; Albany Medical Center, Albany, NY, USA.
  • Abbas KJ; University of Toledo Medical Center, OH, USA.
  • Dinka L; Albany Medical Center, Albany, NY, USA.
  • Ekwenna O; University of Toledo Medical Center, OH, USA.
  • Li MH; George Mason University, Fairfax, VA, USA.
  • Ortiz J; Erie County Medical Center, Buffalo, NY, USA.
Prog Transplant ; 34(1-2): 11-19, 2024 Jun.
Article em En | MEDLINE | ID: mdl-38454748
ABSTRACT

Introduction:

Transplantation is a field with unique medical and administrative challenges that involve an equally diverse array of stakeholders. Expectantly, the litigation stemming from this field should be similarly nuanced. There is a paucity of comprehensive reviews characterizing this medicolegal landscape.

Design:

The Caselaw Access Project Database was used to collect official court briefs of 2053 lawsuits related to kidney, liver, heart, lung, and pancreas transplantation. A thematic analysis was undertaken to characterize grounds for litigation, defendant type, and outcomes. Cases were grouped into policy, discrimination, poor or unsuccessful outcome, or other categories.

Results:

One hundred sixty-four court cases were included for analysis. Cases involving disputes over policy coverage were the most common across all organ types (N = 55, 33.5%). This was followed by poor outcomes (N = 51, 31.1%), allegations of discrimination against prison systems and employers (N = 37, 22.6%) and other (N = 21, 12.8%). Defendants involved in discrimination trials won with the greatest frequency (N = 29, 90.62%). Defendants implicated in policy suits won 65.3% (N = 32), poor outcomes 62.2% (N = 28), and other 70% (N = 14). Of the 51 cases involving poor outcomes, plaintiffs indicated lack of informed consent in 23 (45.1%).

Conclusion:

Reconsidering the informed consent process may be a viable means of mitigating future legal action. Most discrimination suits favoring defendants suggested previous concerns of structural injustices in transplantation may not be founded. The prevalence of policy-related cases could be an indication of financial burden on patients. Future work and advocacy will need to substantiate these concerns and address change where legal recourse falls short.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Transplante de Órgãos / Imperícia Limite: Humans País/Região como assunto: America do norte Idioma: En Revista: Prog Transplant Assunto da revista: ENFERMAGEM / TRANSPLANTE Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Transplante de Órgãos / Imperícia Limite: Humans País/Região como assunto: America do norte Idioma: En Revista: Prog Transplant Assunto da revista: ENFERMAGEM / TRANSPLANTE Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Estados Unidos