Project Overview +

Organs available for transplantation are of varying quality. Patients awaiting transplant need to balance the risk of taking a lower quality organ to keep them alive versus the risk of dying while waiting for a transplant.

This decision aid includes an exercise to help people decide the level of quality they might be willing to accept, given their specific risk of death in the next 3 months.

Aims +

Build and evaluate a decision aid that educates people about why organs vary in their quality, how many organs are available at the level of quality they desire, and how to balance that availability with their risk of dying in the next 3 months.

Participants +

50 patients on the liver transplant waiting list at the University of Michigan Health System

Intervention +

Participants are enrolled in clinic waiting rooms and invited to participate. They log into a website, either in the clinic or at home. The website includes a decision aid to guide their decision making around the quality of organ they are willing to accept, should one become available. There is information about why organs vary in quality.

An exercise helps people understand how many organs are available at each level of quality. People are also asked to think about the level of quality they are willing to accept, given their current MELD score (risk of dying in the next 3 months).

At the end of the intervention, participants print out a tailored summary that they can use to discuss their preferences with their doctors.

Conclusion +

Liver Quality Decision Aid

02/01/2010 - 12/31/2014

Sponsor(s)

National Institute of Diabetes and Digestive and Kidney Diseases

Principal Investigator:

Michael L. Volk, MD, MSc, AGAF

Co-Investigator(s):

Lawrence C. An, MD

Publications: