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Prog Transplant. 2017 Mar;27(1):73-78. doi: 10.1177/1526924816679837. Epub 2016 Nov 23.

Perspectives of US and Australian Hand Therapists About Pediatric Hand Transplantation.

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1
1 Bond University Medical Program, Gold Coast, Queensland, Australia.

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.

KEYWORDS:

hand therapist; hand transplantation; patient care team; pediatrics; vascularized composite allotransplantation

PMID:
27881813
DOI:
10.1177/1526924816679837

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