{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,26]],"date-time":"2026-04-26T17:35:49Z","timestamp":1777224949254,"version":"3.51.4"},"reference-count":50,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T00:00:00Z","timestamp":1775779200000},"content-version":"vor","delay-in-days":9,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Transplantation"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Given the stronger immunological effects of vaccines pre\u2010transplant, the question of whether pre\u2010transplant COVID\u201019 vaccination should be mandatory has been raised. The objective of this study was to gather transplant patients\u2019 perspectives on ethical issues related to mandatory vaccination and access to transplantation in Canada.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted semi\u2010structured interviews with 45 transplant recipients and five transplant candidates from a Qu\u00e9bec transplant program. The interviews were digitally recorded and transcribed. Thematic and content analysis was conducted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Most participants were in favor of pre\u2010transplant vaccine mandates given that vaccination is part of pre\u2010transplant assessment, transplant patients have moral responsibilities and\/or vaccine mandates are legitimate especially in a public health emergency. Restrictions on patient autonomy, the ethical duty to ensure access to life\u2010saving transplantation and unequal access to vaccines were concerns raised by participants about vaccination mandates and access to transplantation. Many participants did not support excluding unvaccinated patients from transplant lists. Most, however, agreed with prioritizing vaccinated candidates in organ allocation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study indicates broad support for the promotion of pre\u2010transplant vaccination. However, preventing access to life\u2010saving organ because an individual is missing specific vaccinations raised concerns among participants. The results of this study could inform vaccination policies in transplantation in future public health emergencies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ctr.70530","type":"journal-article","created":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T14:05:52Z","timestamp":1775829952000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Canadian Transplant Candidates\u2019 and Recipients\u2019 Perspectives on Mandatory Vaccination and Access to Transplantation: A Qualitative Study"],"prefix":"10.1111","volume":"40","author":[{"given":"Savannah\u2010Lou","family":"Cochran\u2010Mavrikakis","sequence":"first","affiliation":[{"name":"Department of Philosophy Facult\u00e9 Des Arts Et Des Sciences De L'universit\u00e9 De Montr\u00e9al  Montreal Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carina","family":"Sancho","sequence":"additional","affiliation":[{"name":"Faculty of 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