Heart transplant center practice patterns affect access to donors and survival of patients classified as status 1 by the United Network of Organ Sharing.
Publication/Presentation Date
9-1-2000
Abstract
OBJECTIVE: To determine the effect of adult cardiac transplant center practice patterns within a single organ procurement organization on access to donors and survival for patients listed as United Network of Organ Sharing (UNOS) status 1.
METHODS: A total of 662 patients listed (January 1, 1992, through December 31, 1995) as UNOS status 1 for heart transplantation by the 4 adult cardiac transplant centers in an organ procurement organization were analyzed in a retrospective cohort study to determine differences in clinical outcomes.
RESULTS: The specific center at which an individual was listed as UNOS status 1 was a significant independent predictor of receiving a transplant (odds ratios for 3 centers vs center with highest likelihood = 0.73, 0.64, 0.35, respectively; P < . 01). Only 1 center had a significantly increased mortality rate compared with the other centers (odds ratio 2.03, P < .01).
CONCLUSION: Within a single regional organ procurement organization, cardiac transplant centers demonstrate significant variability in the likelihood of transplantation and survival for patients listed as UNOS status 1.
Volume
140
Issue
3
First Page
443
Last Page
450
ISSN
0002-8703
Published In/Presented At
Whellan, D. J., Tudor, G., Denofrio, D., Abrams, J. D., & Loh, E. (2000). Heart transplant center practice patterns affect access to donors and survival of patients classified as status 1 by the United Network of Organ Sharing. American heart journal, 140(3), 443–450. https://doi.org/10.1067/mhj.2000.109214
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
10966546
Department(s)
Administration and Leadership
Document Type
Article