Central importance of emotional and quality-of-life outcomes in the public's perception of face transplantation.

Murphy, D C, Hoyle, V, Saleh, D, Rees, Jon and Bound Alberti, F (2021) Central importance of emotional and quality-of-life outcomes in the public's perception of face transplantation. The British journal of surgery. ISSN 1365-2168

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Face transplantation is a surgical innovation to manage people with severely interrupted facial function and form. How the public perceive face transplantation and its potential implications for the recipient, donor, and society is unclear. The aim of this study was to understand the public perception of face transplantation, including when it is appropriate, what information is required to feel adequately informed, and which factors influence a person's willingness to donate their face. This was a nationwide survey of participants representative of the GB public. A quantitative analysis was performed. Free-text qualitative responses were coded with thematic content analysis and a narrative analysis was constructed. The survey included 2122 participants. Face transplantation was considered worth the potential risks if it improved an individual's quality of life, gave them a 'normal life', and/or increased their confidence and social interaction. Respondents were worried about the impact face transplantation might have on donor families, especially recipient families adapting to the identity of the donor. Respondents most concerned about the concept of face transplantation were aged at least 55 years (χ2(4) = 38.9, P < 0.001), women (χ2(1) = 19.8, P < 0.001), and Indian/Asian (χ2(4) = 11.9, P = 0.016). The public perceive emotional and psychological outcomes as equally as important as, or more important than, surgical outcomes when determining the appropriateness of face transplantation. Future research should focus on measuring and describing emotional and psychological outcomes after face transplantation. [Abstract copyright: © The Author(s) 2021. Published by Oxford University Press on behalf of BJS Society Ltd.]

Item Type: Article
Additional Information: ** From PubMed via Jisc Publications Router ** History: received 16-11-2020; accepted 09-03-2021.
Divisions: Faculty of Health Sciences and Wellbeing > School of Psychology
SWORD Depositor: Publication Router
Depositing User: Publication Router
Date Deposited: 22 Jun 2021 09:46
Last Modified: 22 Jun 2021 10:00
URI: http://sure.sunderland.ac.uk/id/eprint/13521
ORCID for Jon Rees: ORCID iD orcid.org/0000-0002-3295-244X
ORCID for F Bound Alberti: ORCID iD orcid.org/0000-0003-2265-3822

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