Evolving ethics, policy and reimbursement issues of vascularized composite allotransplantation: Symposium summary

John Rose; Carisa M Cooney; Christina Kaufman; Simon G Talbot; Arthur Caplan; Jeffrey Kahn; Jeremy Sugarman; Jaimie T Shores; L Scott Levin; Gerald Brandacher; Sue V McDiarmid; WP Andrew Lee; Wendy Dean

doi:10.1177/2050312119866944

SAGE Open Medicine (Jul 2019)

Evolving ethics, policy and reimbursement issues of vascularized composite allotransplantation: Symposium summary

John Rose,
Carisa M Cooney,
Christina Kaufman,
Simon G Talbot,
Arthur Caplan,
Jeffrey Kahn,
Jeremy Sugarman,
Jaimie T Shores,
L Scott Levin,
Gerald Brandacher,
Sue V McDiarmid,
WP Andrew Lee,
Wendy Dean

Affiliations

John Rose: Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA
Carisa M Cooney: Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA
Christina Kaufman: Christine M. Kleinert Institute for Hand and Microsurgery, Louisville, KY, USA
Simon G Talbot: Division of Plastic and Reconstructive Surgery, Brigham and Women’s Hospital, Boston, MA, USA
Arthur Caplan: Division of Medical Ethics, New York University School of Medicine, New York City, NY, USA
Jeffrey Kahn: Berman Institute of Bioethics, Johns Hopkins University, Baltimore, MD, USA
Jeremy Sugarman: Berman Institute of Bioethics, Johns Hopkins University, Baltimore, MD, USA
Jaimie T Shores: Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA
L Scott Levin: Department of Orthopaedic Surgery, Division of Plastic Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA
Gerald Brandacher: Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA
Sue V McDiarmid: Division of Pediatric Gastroenterology, Hepatology and Nutrition, Department of Pediatrics and Surgery. David Geffen School of Medicine at University of California, Los Angeles, CA, USA
WP Andrew Lee: Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA
Wendy Dean: The Henry M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, MD, USA

DOI: https://doi.org/10.1177/2050312119866944
Journal volume & issue: Vol. 7

Abstract

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In this article, we present a report from a national meeting titled, “Evolving Issues of Vascularized Composite Allotransplantation—A Symposium on Ethics, Policy, and Reimbursement Issues,” which convened in September 2017. We discuss the maturation of vascularized composite allotransplantation from an emerging technology to becoming an extension of clinical practice for select patients with complex reconstructive needs. Viewpoints and action items were presented by and discussed among the 70+ clinicians, researchers, policymakers, ethicists, healthcare administrators, and third-party payers who attended the symposium with the goals of implementing a collaborative roadmap for vascularized composite allotransplantation growth, evaluation, and sustainability by establishing a unified plan to help address concerns of the public, policymakers, and healthcare finance. We review the current status of vascularized composite allotransplantation in clinical practice and summarize symposium discussions regarding ethical considerations, reimbursement, payer strategies, and standardization of data collection.

Published in SAGE Open Medicine

ISSN: 2050-3121 (Online)
Publisher: SAGE Publishing
Country of publisher: United Kingdom
LCC subjects: Medicine: Medicine (General)
Website: https://journals.sagepub.com/home/smo

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