Evidence map›Paper›PMID 41427919›Full record

ArticleClinical transplantation2025

Many Moving Parts: New Transplant Allocation Models Are Associated With Increased Organ Travel and Potential Climate Implications.

Kevin Gianaris, Arrey-Takor Paul Ayuk-Arrey, Jonathan A Fridell, Katherine Ross-Driscoll

Abstract read
In one paragraph

Article in Clinical transplantation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. 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

4 authors.

Kevin GianarisIndiana University School of Medicine, Indianapolis, Indiana, USA.ORCID https://orcid.org/0000-0002-6542-677X
Arrey-Takor Paul Ayuk-ArreyCenter For Health Services Research, Regenstrief Institute, Indianapolis, Indiana, USA.ORCID https://orcid.org/0000-0002-8292-5108
Jonathan A FridellIndiana University School of Medicine, Department of Surgery, Indianapolis, Indiana, USA.ORCID https://orcid.org/0000-0002-8708-1506
Katherine Ross-DriscollCenter For Health Services Research, Regenstrief Institute, Indianapolis, Indiana, USA.ORCID https://orcid.org/0000-0002-1176-3172

Funding

Identifying determinants of access to the early steps of liver transplant in the SoutheastK01MD018455 · NIMHD · INDIANA UNIVERSITY INDIANAPOLIS · PI Katie Ross-Driscoll · 2023 to 2026
$393k
KRD is funded by K01MD018455NIMHD NIH HHS K01 MD018455
6 · The paper itself

Abstract

backgroundOrgan allocation has recently changed to acuity circle (AC)-based policies. This study aimed to quantify changes in travel distance and potential environmental impacts of AC policies.

methodsData were obtained from the Scientific Registry of Transplant Recipients for each solid organ for an equidistant window before and after AC implementation. We calculated the distance between the donor and recipient hospital for each organ. We used an interrupted time series model to calculate excess travel distance after AC along with associated carbon emissions.

resultsWe analyzed travel distance for 226 731 deceased donor organs. There was a significant increase in total excess distance traveled: 1.5 × 10

conclusionsOur findings quantify an increase in total distance traveled and potential carbon emissions after AC implementation. Environmental impacts of allocation policies should be considered, especially with upcoming continuous distribution.

Indexed as

ClimateOrgan TransplantationResource AllocationTissue and Organ ProcurementTissue DonorsTravelFollow-Up StudiesHumansPrognosisRegistriesallocationclimateemissionsenvironmental impacthealth policyorgan transplantationpublic policytransportationUNOS

Identifiers

PMID41427919
PMCPMC12721351

What OpenQuestion holds

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Registered trials

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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.