Table 3 Handling the pancreas assessment of the recovery team
If the recovery team describes the pancreas quality as being poor, transplant surgeons react differently: | |||
|---|---|---|---|
Category | Frequency* | Sample quote | |
1) | The interviewee adopts the assessment of the recovery team | 3/14 | If [the donor surgeon] says: ‘It’s obviously hardened’, then you needn’t discuss it, then it is hardened. (IP 09) |
2) | The interviewee adopts the assessment only if he knows and trusts the recovery surgeon | 3/14 | There’s a matter of trust involved here. […] We know that people who have never seen (or) performed pancreas transplantations in their lives are recovering these organs. I think that’s difficult… the foundation of trust is missing there. If I know that this and that person has recovered the organ, [and that] he knows what he is doing, then I can …say l’ll take it. (IP 14) When I am informed that [the donor surgeon] is working with a center that has never had a pancreas transplant program, then, honestly speaking, I’m very sceptical… A macroscopic assessment from somebody who isn’t even familiar with it [pancreas transplant], you can completely forget that. (IP 08) |
3) | The interviewee does not rely on the assessment of the recovery team. He prefers to accept the organ in (almost) any case and assess it personally | 6/14 | [Assessment of the donor surgeon] - I know, from experience, that there are people who have no idea whatsoever what a pancreas should look like. So as a rule I consider [their assessment] for my decision, [but] unless there’s an injury or something that clearly precludes [a transplantation], … I’d rather look at it personally. (IP 12) [We accept] even if the recovery team informs us that the organ is fatty or hard – if the parameters on paper are okay. (IP 05) |