Evidence map›Paper›PMID 29557915›Full record

SynthesisTransplantation2018

Quality Metrics in Solid Organ Transplantation: A Systematic Review.

Kendra E Brett, Lindsay J Ritchie, Emily Ertel, Alexandria Bennett, Greg A Knoll

Abstract readSystematic Review
In one paragraph

Synthesis in Transplantation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Review
  4. Review
  5. Article
  6. Quality metrics in solid organ donation: A narrative review.World journal of transplantation · 2025
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. "It's My Life and It's Now or Never"-Transplant Recipients Empowered From a Service-Dominant Logic Perspective.Transplant international : official journal of the European Society for Organ Transplantation · 2023
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Kidney transplant program waitlisting rate as a metric to assess transplant access.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2021
    Article
  19. Article
  20. Tool to Aid Patients in Selecting a Liver Transplant Center.Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society · 2020
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Kendra E BrettClinical Epidemiology Program, The Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.
Lindsay J RitchieClinical Epidemiology Program, The Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.
Emily ErtelClinical Epidemiology Program, The Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.
Alexandria BennettClinical Epidemiology Program, The Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.
Greg A KnollClinical Epidemiology Program, The Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.

Funding

CIHR 143239
6 · The paper itself

Abstract

backgroundThe best approach for determining whether a transplant program is delivering high-quality care is unknown. This review aims to identify and characterize quality metrics in solid organ transplantation.

methodsMedline, Embase, and Cochrane Central Register of Controlled Trials were searched from inception until February 1, 2017. Relevant full text reports and conference abstracts that examined quality metrics in organ transplantation were included. Two reviewers independently extracted study characteristics and quality metrics from 52 full text reports and 24 abstracts. PROSPERO registration: CRD42016035353.

resultsThree hundred seventeen quality metrics were identified and condensed into 114 unique indicators with sufficient detail to be measured in practice; however, many lacked details on development and selection, were poorly defined, or had inconsistent definitions. The process for selecting quality indicators was described in only 5 publications and patient involvement was noted in only 1. Twenty-four reports used the indicators in clinical care, including 12 quality improvement studies. Only 14 quality metrics were assessed against patient and graft survivals.

conclusionsMore than 300 quality metrics have been reported in transplantation but many lacked details on development and selection, were poorly defined, or had inconsistent definitions. Measures have focused on safety and effectiveness with very few addressing other quality domains, such as equity and patient-centeredness. Future research will need to focus on transparent and objective metric development with proper testing, evaluation, and implementation in practice. Patients will need to be involved to ensure that transplantation quality metrics measure what is important to them.

Indexed as

Patient ParticipationQuality ImprovementGraft SurvivalHumansOrgan TransplantationQuality of Health Care

Identifiers

PMID29557915
PMCPMC7228649

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.