title: Misattributed paternity in hematopoietic stem cell transplantation: the role of the healthcare provider.
abstract: BACKGROUND
  With emerging technologies and genetic advancements in the field of oncology, ethical controversies and questions on how to approach them will continue to grow. Advancements in the field of hematopoietic stem cell transplantation have led to increased testing of transplantation recipients' children and parents as potential donors related to an increase in the use of haploidentical transplantations. This testing opens the door for an increased incidence of misattributed paternity findings.
  
  
  OBJECTIVE
  This article attempts to address the ethical conflicts and provide potential solutions to assist in the transition from individual-focused care to family-focused care.
  
  
  METHODS
  The principlist approach was used.
  
  
  RESULTS
  Healthcare providers should be educated on methods of incidental finding disclosure and how to provide adequate support for those individuals.
authors.affiliation: Blood and Marrow Transplant Group of Georgia at Northside Hospital Cancer Institute, Atlanta, GA.
authors.forename: Stephanie
authors.initials: S
authors.lastname: Jacobson
authors.affiliation: School of Nursing, Clemson University, Clemson, SC.
authors.forename: Julie
authors.initials: J
authors.lastname: Eggert
authors.affiliation: School of Nursing, Clemson University, Clemson, SC.
authors.forename: Jane
authors.initials: J
authors.lastname: Deluca
authors.affiliation: Blood and Marrow Transplant Group of Georgia at Northside Hospital Cancer Institute, Atlanta, GA.
authors.forename: Dawn
authors.initials: D
authors.lastname: Speckhart
mesh_terms: D026686:Beneficence; D005820:Genetic Testing / Q000941:ethics*; D018380:Hematopoietic Stem Cell Transplantation; D006801:Humans; D010334:Paternity; D014342:Truth Disclosure / Q000941:ethics*
keywords: ethical issues in stem cell transplantation; haploidentical stem cell transplantation; hematopoietic stem cell transplantation; misattributed paternity