ArticleCurrent transplantation reports2017
Measuring transplant center performance: The goals are not controversial but the methods and consequences can be.
Article in Current transplantation reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
20 citing papers in PubMed.
- Optimal quality oversight in kidney transplantation and its impact on transplant centers' waitlist management.Health care management science · 2025Article
- Obesity-Related Kidney Disease: A Growing Threat to Renal Health.International journal of molecular sciences · 2025Review
- Robust Privacy-Preserving Models for Cluster-Level Confounding: Recognizing Disparities in Access to Transplantation.Statistics in biosciences · 2025Article
- Transforming transplantation access: A federal directive for comprehensive pre-waitlisting data collection.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2025Article
- Health Care Provider Clustering Using Fusion Penalty in Quasi-Likelihood.Biometrical journal. Biometrische Zeitschrift · 2024Article
- Impact of institutional variables on centre performance in long-term survival after heart transplant.Interdisciplinary cardiovascular and thoracic surgery · 2024Article
- COMPOSITE SCORES FOR TRANSPLANT CENTER EVALUATION: A NEW INDIVIDUALIZED EMPIRICAL NULL METHOD.The annals of applied statistics · 2024Article
- Deceased Donor Kidney Transplantation for Older Transplant Candidates: A New Microsimulation Model for Determining Risks and Benefits.Medical decision making : an international journal of the Society for Medical Decision Making · 2023Article
- For better care we need better data: towards a national obstetrics registry.American journal of obstetrics & gynecology MFM · 2023Review
- Donor Utilization in the Recent Era: Effect of Sex, Drugs, and Increased Risk.Circulation. Heart failure · 2022Article
- Textbook Outcome as a Quality Metric in Liver Transplantation.Transplantation direct · 2022Article
- External validation and comparison of risk score models in pediatric heart transplants.Pediatric transplantation · 2022Article
- Definition and Analysis of Textbook Outcome: A Novel Quality Measure in Kidney Transplantation.World journal of surgery · 2021Article
- 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 Center Variability in Organ Offer Acceptance and Mortality Among US Patients on the Heart Transplant Waitlist.JAMA cardiology · 2020Article
- Degree of Glomerulosclerosis in Procurement Kidney Biopsies from Marginal Donor Kidneys and Their Implications in Predicting Graft Outcomes.Journal of clinical medicine · 2020Article
- Evaluation of Accepting Kidneys of Varying Quality for Transplantation or Expedited Placement With Decision Trees.Transplantation · 2019Article
- Transplant community perceptions of the benefits and drawbacks of alternative quality metrics for regulation.Clinical transplantation · 2019Article
- The relationship between the C-statistic and the accuracy of program-specific evaluations.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2019Article
- Seeking new answers to old questions about public reporting of transplant program performance in the United States.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
Abstract
purpose of reviewRisks of regulatory scrutiny has generated widespread concern about increasingly risk averse transplant center behaviors regarding both donor and candidate acceptance patterns. To address potential unintended consequences threatening access to care, we discuss recent changes in regulatory metrics and potential improvements in quality oversight of transplant centers. RECENT
findingsDespite many recent changes to one-year patient and graft survival regulatory criteria, the capacity to accurately identify true underperforming centers and avoiding false positive flagging remains an area of great concern. Numerous studies have demonstrated restrictions in transplant volume and access following transplant center flagging. SUMMARY: Current regulatory criteria are limited in their capacity to accurately identify poorly performing centers and potentially encourage risk-averse behavior by transplant centers. Efforts to address these concerns should focus on (1) improving risk-adjustment models with better data which captures the acuity of candidate and donor risk, (2) reconsidering primary outcomes measured to assess comprehensive transplant center performance, (3) improving education to address rational or perceived disincentives, and (4) using data more effectively to share best practices.
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