Eudaimonia: An Aristotelian approach to transplantation

Abstract

Despite extraordinary achievements in over the past 20 years, the field of transplantation remains hindered by relatively narrow metrics for success. Eudaimonia is an Aristotelian concept that refers to flourishing, or achieving the best conditions possible, in every sense. The vast amounts of patient data that are collected throughout the transplant care continuum, ranging from social determinants of health to genomic profiles and patient‐reported outcomes, afford us unprecedented opportunity to enhance our definition of success for our transplant patients. We must engage the technologies available for data integration and analysis and apply them in an insightful way, such that our clinical practice evolves beyond patient and graft survival and toward a more comprehensive state of wellness.

Patients are pragmatic and physicians are perfectionists? Comparing success after liver transplantation among patients and physicians

“…Furthermore, although important, these quantitative metrics provide little understanding of the more qualitative "how" a patient is doing after transplantation. [6] During the past 2 decades research in health carerelated quality of life or HRQOL has attempted to measure the patient perspective. Many HRQOL metrics attempt to measure patient perceptions about their quality of life and identify deficits in physical, social, and spiritual function.…”

“…While the recently revised quality metrics from the OPTN now include center waitlist mortality ratios, offer acceptance ratios, 90-day survival, and conditional 1-year survival,5 the patient perspective is still conspicuously absent from most quality measures. Furthermore, although important, these quantitative metrics provide little understanding of the more qualitative “ how ” a patient is doing after transplantation 6…”