ArticleHealth services research2015
Patient selection and volume in the era surrounding implementation of Medicare conditions of participation for transplant programs.
Article in Health services research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
10 citing papers in PubMed, 37 citations in OpenAlex.
- Optimal quality oversight in kidney transplantation and its impact on transplant centers' waitlist management.Health care management science · 2025Article
- Patient selection in the presence of regulatory oversight based on healthcare report cards of providers: the case of organ transplantation.Health care management science · 2021Article
- Transplant community perceptions of the benefits and drawbacks of alternative quality metrics for regulation.Clinical transplantation · 2019Article
- Quality-based ratings in Medicare and trends in kidney transplantation.Health services research · 2019Article
- Reported effects of the Scientific Registry of Transplant Recipients 5-tier rating system on US transplant centers: results of a national survey.Transplant international : official journal of the European Society for Organ Transplantation · 2018Article
- Kidney offer acceptance at programs undergoing a Systems Improvement Agreement.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2018Article
- Building an Ideal Quality Metric for ESRD Health Care Delivery.Clinical journal of the American Society of Nephrology : CJASN · 2017Article
- Survival Benefit in Older Patients Associated With Earlier Transplant With High KDPI Kidneys.Transplantation · 2017Article
- Measuring transplant center performance: The goals are not controversial but the methods and consequences can be.Current transplantation reports · 2017Article
- Considering potential benefits and consequences of hospital report cards: what are the next steps?Health services research · 2015Article
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Authors and funding
9 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo evaluate evidence of practice changes affecting kidney transplant program volumes, and donor, recipient and candidate selection in the era surrounding the introduction of Centers for Medicare and Medicaid Services (CMS) conditions of participation (CoPs) for organ transplant programs. DATA: Scientific Registry of Transplant Recipients; CMS ESRD and Medicare claims databases.
designRetrospective analysis of national registry data.
methodsA Cox proportional hazards model of 1-year graft survival was used to derive risks associated with deceased-donor kidney transplants performed from 2001 to 2010.
findingsAmong programs with ongoing noncompliance with the CoPs, kidney transplant volumes declined by 38 percent (n = 766) from 2006 to 2011, including a 55 percent drop in expanded criteria donor transplants. Volume increased by 6 percent (n = 638) among programs remaining in compliance. Aggregate risk of 1-year graft failure increased over time due to increasing recipient age and obesity, and longer ESRD duration.
conclusionsAlthough trends in aggregate risk of 1-year kidney graft loss do not indicate that the introduction of the CoPs has systematically reduced opportunities for marginal candidates or that there has been a systematic shift away from utilization of higher risk deceased donor kidneys, total volume and expanded criteria donor utilization decreased overall among programs with ongoing noncompliance.
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