The Effect of Transplant Volume and Patient Case Mix on Center Variation in Kidney Transplantation Outcomes.

ABSTRACT:

Background

Kidney transplantation is the optimal treatment for patients with end-stage renal disease; however, long-term outcomes remain suboptimal.

Objective

The objectives of our study were to examine the variation in survival rates and determine whether center volume and case mix are associated with transplant outcomes and explain the variation across kidney transplant centers in Ontario, Canada.

Design

This was a population-based cohort study using health care administrative databases.

Setting

A total of 5 transplant centers across Ontario, Canada.

Patients

We included adults (≥18 years) undergoing primary, solitary kidney transplantation between January 1, 2000 to December 31, 2013.

Measurements

The co-primary outcomes were death-censored gra

SUBMITTER: Tsampalieros A 

PROVIDER: S-EPMC6755637 | biostudies-literature | 2019

REPOSITORIES: biostudies-literature