Patient selection and volume in the era surrounding implementation of Medicare conditions of participation for transplant programs.

ABSTRACT:

Objective

To evaluate evidence of practice changes affecting kidney transplant program volumes, and donor, recipient and candidate selection in the era surrounding the introduction of Centers for Medicare and Medicaid Services (CMS) conditions of participation (CoPs) for organ transplant programs.

Data

Scientific Registry of Transplant Recipients; CMS ESRD and Medicare claims databases.

Design

Retrospective analysis of national registry data.

Methods

A Cox proportional hazards model of 1-year graft survival was used to derive risks associated with deceased-donor kidney transplants performed from 2001 to 2010.

Findings

Among programs with ongoing noncompliance with the CoPs, kidney transplant volumes declined by 38 percent (n = 766) from 2006 to 2011, inc

SUBMITTER: White SL 

PROVIDER: S-EPMC4369212 | biostudies-literature | 2015 Apr

REPOSITORIES: biostudies-literature