Quality-based ratings in Medicare and trends in kidney transplantation.

ABSTRACT:

Objective

To assess the relationship between the 2007 Medicare regulation enforcing quality standards for transplant centers and trends in kidney transplantation.

Data sources

Transplant centers' biannual reports and the national registry for kidney transplantation from 2003 to 2010.

Study design

Non-compliant (low-performing) centers were compared with centers in compliance with quality standards according to: number of transplants, waiting-list registrations, and rates of graft failures, transfers, and deaths. Multivariate regressions were estimated to evaluate the association between the regulation and transplantation outcomes.

Data extraction methods

Patient characteristics and outcomes were aggregated to six-month periods and linked to centers' reports.

SUBMITTER: Ouayogode MH 

PROVIDER: S-EPMC6338323 | biostudies-literature | 2019 Feb

REPOSITORIES: biostudies-literature