Evidence map›Paper›PMID 37050945›Full record

ArticleFrontiers in public health2023

A Keynesian perspective on the health economics of kidney transplantation would strengthen the value of the whole organ donation and transplantation service.

Francesca Leonardis, Lara Gitto, Evaldo Favi, Angelo Oliva, Roberta Angelico, Annapaola Mitterhofer, Irene Cacciola, Domenico Santoro, Tommaso Maria Manzia, Giuseppe Tisone and 1 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.2field-weighted citation impact, top 22% of its field
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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Socio-economic factors are the main factors affecting organ donation.Revista da Associacao Medica Brasileira (1992) · 2023
    Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 4 institutions in 1 country.

Francesca LeonardisUTV Intensive Care Unit, Department of Surgical Sciences, Tor Vergata University, Rome, Italy.
Lara GittoDipartimento di Economia, Università degli Studi di Messina, Messina, Italy.
Evaldo FaviGeneral Surgery and Kidney Transplantation, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Angelo OlivaCoordinamento Trapianti, Policlinico Tor Vergata, Rome, Italy.
Roberta AngelicoDepartment of Surgical Sciences, HPB and Transplant Unit, University of Rome Tor Vergata, Rome, Italy.
Annapaola MitterhoferNephrology and Dialysis Unit, University of Rome Tor Vergata, Rome, Italy.
Irene CacciolaDepartment of Clinical and Experimental Medicine, Medicine and Hepatology Unit, University Hospital of Messina, Messina, Italy.
Domenico SantoroDipartimento di Medicina Clinica e Sperimentale, UOC di Nefrologia e Dialisi, Università degli Studi di Messina, Messina, Italy.
Tommaso Maria ManziaDepartment of Surgical Sciences, HPB and Transplant Unit, University of Rome Tor Vergata, Rome, Italy.
Giuseppe TisoneDepartment of Surgical Sciences, HPB and Transplant Unit, University of Rome Tor Vergata, Rome, Italy.
Roberto CacciolaUTV Intensive Care Unit, Department of Surgical Sciences, Tor Vergata University, Rome, Italy.
University of Rome Tor Vergata · ITUniversity of Messina · ITPoliclinico Tor Vergata · ITUniversity of Milan · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: In this study, the Keynesian principle "savings may be used as investments in resources" is applied to Kidney Transplantation (KT), contextualizing the whole Organs Donation and Transplantation (ODT) service as a unique healthcare entity. Our aim was to define the financial resources that may be acquired in the form of savings from the KT activity. Methods: We analyzed registry and funding data for ODT in our region, between 2015 and 2019. Our hypotheses aimed to evaluate whether the savings would offset the Organ Donation (OD) costs, define the scope for growth, and estimate what savings could be generated by higher KT activity. To facilitate the evaluation of the resources produced by KT, we defined a coefficient generated from the combination of clinical outcomes, activity, and costs. Results: The ODT activity reached a peak in 2017, declining through 2018-2019. The savings matured in 2019 from the KT activity exceeded €15 million while the OD costs were less than €9 million. The regional KT activity was superior to the national average but inferior to international benchmarks. The estimated higher KT activity would produce savings between €16 and 20 million. Conclusion: The financial resources produced by KT contribute to defining a comprehensive perspective of ODT finance. The optimization of the funding process may lead to the financial self-sufficiency of the ODT service. The reproducible coefficient allows a reliable estimate of savings, subsequently enabling adequate investments and budgeting. Applying such a perspective jointly with reliable estimates would establish the basis for an in-hospital fee-for-value funding methodology for ODT.

Indexed as

Kidney TransplantationOrgan TransplantationTissue and Organ ProcurementHealth Knowledge, Attitudes, PracticeHumansTissue Donorsfundinghealth economicsKeynesian modelkidney transplantationorgan donationorgan transplantationpublic healthsavings

Identifiers

PMID37050945
PMCPMC10083402
OpenAlexW4361011197

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.