Perspectives of US and Australian hand therapists about pediatric hand transplantation

Nitin Mukesh, Katrina A Bramstedt

Research output: Contribution to journalArticleResearchpeer-review

Abstract

INTRODUCTION 

Pediatric hand transplantation (PHT), an investigational therapy, was recently performed in the United States.

RESEARCH QUESTIONS

Perspectives of hand therapists about PHT patient selection (inclusion and exclusion criteria), team configuration, patient assent, and patient compliance were explored.

DESIGN

Quantitative survey. We used a research ethics committee-approved 18-question e-link anonymous questionnaire to survey members of the American Society of Hand Therapists and the Australian (AU) Hand Therapy Association for their perspectives on PHT.

RESULTS

All surveyed hand therapists work with children (n = 18 Australia [AU], n = 85 United States) and some had been involved in adult hand transplant rehabilitation (28% AU, 21% United States; P = .543, not significant (NS)). The US and AU therapists differ regarding their opinions on multidisciplinary team membership, smoking as an exclusion criterion, and risk of posttransplant rehabilitation noncompliance.

DISCUSSION

This research opens a dialogue on the clinical and ethical complexity of PHT, including team configuration, inclusion/exclusion criteria, the assent process, and rehabilitation access/compliance. Furthermore, international perspectives are informative as they highlight funding and access issues and can potentially guide global professional society policy.

Original languageEnglish
Pages (from-to)73-78
Number of pages6
JournalProgress in Transplantation
Volume27
Issue number1
DOIs
Publication statusPublished - Mar 2017

Fingerprint

Hand Transplantation
Hand
Pediatrics
Rehabilitation
Investigational Therapies
Internationality
Research Ethics Committees
Patient Compliance
Patient Selection
Compliance
Smoking
Transplants
Research

Cite this

Mukesh, Nitin ; Bramstedt, Katrina A. / Perspectives of US and Australian hand therapists about pediatric hand transplantation. In: Progress in Transplantation. 2017 ; Vol. 27, No. 1. pp. 73-78.
@article{59d6050421bf42518594016cf3ce333a,
title = "Perspectives of US and Australian hand therapists about pediatric hand transplantation",
abstract = "INTRODUCTION Pediatric hand transplantation (PHT), an investigational therapy, was recently performed in the United States.RESEARCH QUESTIONSPerspectives of hand therapists about PHT patient selection (inclusion and exclusion criteria), team configuration, patient assent, and patient compliance were explored.DESIGNQuantitative survey. We used a research ethics committee-approved 18-question e-link anonymous questionnaire to survey members of the American Society of Hand Therapists and the Australian (AU) Hand Therapy Association for their perspectives on PHT.RESULTSAll surveyed hand therapists work with children (n = 18 Australia [AU], n = 85 United States) and some had been involved in adult hand transplant rehabilitation (28{\%} AU, 21{\%} United States; P = .543, not significant (NS)). The US and AU therapists differ regarding their opinions on multidisciplinary team membership, smoking as an exclusion criterion, and risk of posttransplant rehabilitation noncompliance.DISCUSSIONThis research opens a dialogue on the clinical and ethical complexity of PHT, including team configuration, inclusion/exclusion criteria, the assent process, and rehabilitation access/compliance. Furthermore, international perspectives are informative as they highlight funding and access issues and can potentially guide global professional society policy.",
author = "Nitin Mukesh and Bramstedt, {Katrina A}",
year = "2017",
month = "3",
doi = "10.1177/1526924816679837",
language = "English",
volume = "27",
pages = "73--78",
journal = "Progress in Transplantation",
issn = "0905-9199",
publisher = "InnoVision Communications",
number = "1",

}

Perspectives of US and Australian hand therapists about pediatric hand transplantation. / Mukesh, Nitin; Bramstedt, Katrina A.

In: Progress in Transplantation, Vol. 27, No. 1, 03.2017, p. 73-78.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Perspectives of US and Australian hand therapists about pediatric hand transplantation

AU - Mukesh, Nitin

AU - Bramstedt, Katrina A

PY - 2017/3

Y1 - 2017/3

N2 - INTRODUCTION Pediatric hand transplantation (PHT), an investigational therapy, was recently performed in the United States.RESEARCH QUESTIONSPerspectives of hand therapists about PHT patient selection (inclusion and exclusion criteria), team configuration, patient assent, and patient compliance were explored.DESIGNQuantitative survey. We used a research ethics committee-approved 18-question e-link anonymous questionnaire to survey members of the American Society of Hand Therapists and the Australian (AU) Hand Therapy Association for their perspectives on PHT.RESULTSAll surveyed hand therapists work with children (n = 18 Australia [AU], n = 85 United States) and some had been involved in adult hand transplant rehabilitation (28% AU, 21% United States; P = .543, not significant (NS)). The US and AU therapists differ regarding their opinions on multidisciplinary team membership, smoking as an exclusion criterion, and risk of posttransplant rehabilitation noncompliance.DISCUSSIONThis research opens a dialogue on the clinical and ethical complexity of PHT, including team configuration, inclusion/exclusion criteria, the assent process, and rehabilitation access/compliance. Furthermore, international perspectives are informative as they highlight funding and access issues and can potentially guide global professional society policy.

AB - INTRODUCTION Pediatric hand transplantation (PHT), an investigational therapy, was recently performed in the United States.RESEARCH QUESTIONSPerspectives of hand therapists about PHT patient selection (inclusion and exclusion criteria), team configuration, patient assent, and patient compliance were explored.DESIGNQuantitative survey. We used a research ethics committee-approved 18-question e-link anonymous questionnaire to survey members of the American Society of Hand Therapists and the Australian (AU) Hand Therapy Association for their perspectives on PHT.RESULTSAll surveyed hand therapists work with children (n = 18 Australia [AU], n = 85 United States) and some had been involved in adult hand transplant rehabilitation (28% AU, 21% United States; P = .543, not significant (NS)). The US and AU therapists differ regarding their opinions on multidisciplinary team membership, smoking as an exclusion criterion, and risk of posttransplant rehabilitation noncompliance.DISCUSSIONThis research opens a dialogue on the clinical and ethical complexity of PHT, including team configuration, inclusion/exclusion criteria, the assent process, and rehabilitation access/compliance. Furthermore, international perspectives are informative as they highlight funding and access issues and can potentially guide global professional society policy.

UR - https://www.scopus.com/record/display.uri?eid=2-s2.0-85016224745&origin=inward&txGid=f192d0a1cd723f38f2f4ed31813ef438

U2 - 10.1177/1526924816679837

DO - 10.1177/1526924816679837

M3 - Article

VL - 27

SP - 73

EP - 78

JO - Progress in Transplantation

JF - Progress in Transplantation

SN - 0905-9199

IS - 1

ER -