Evidence map›Paper›PMID 42062567›Full record

ArticleNature human behaviour2026

Causal evidence of task-switching costs in organ transplantation.

Jiayi Liu, Yiwen Jin, Joel T Adler

Abstract read
PubMed Publisher
In one paragraph

Article in Nature human behaviour, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

3 authors.

Jiayi LiuPamplin College of Business, Virginia Tech, Blacksburg, VA, USA. jyliu@vt.edu.ORCID http://orcid.org/0000-0001-5466-7618
Yiwen JinHaskayne School of Business, University of Calgary, Calgary, Alberta, Canada.
Joel T AdlerDivision of Abdominal Transplantation, Department of Surgery and Perioperative Care, Dell School of Medicine, The University of Texas at Austin, Austin, TX, USA.

Funding

University of Calgary (UCalgary) RMS25-131738050
6 · The paper itself

Abstract

Experimental psychology has long shown that task switching imposes cognitive demands and increases error rates, yet its impact in high-stakes real-world settings remains unclear. Here we provide causal evidence of switching costs in the context of organ transplantation. Leveraging quasi-random organ arrivals as a natural experiment, we analyse national registry data on 316,742 US transplants from 2007 to 2019. We find that, when surgeons switch organ types (for example, from liver to kidney) across consecutive surgeries, patients' 1-year post-transplant mortality increases by 0.66 percentage points (95% confidence interval 0.39-0.94; P < 0.001), a 14.8% increase relative to baseline. These risks can potentially be mitigated through structured scheduling, longer intervals between procedures, and greater surgeon experience. Our findings identify task switching as a modifiable risk factor in expert performance and offer potential strategies to improve outcomes in high-stakes environments.

Indexed as

Organ TransplantationAdultCognitive FlexibilityFemaleHumansKidney TransplantationMaleMiddle AgedRegistriesUnited States

Identifiers

What OpenQuestion holds

Textmetadata
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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.