Heart and lung organ offer acceptance practices of transplant programs are associated with waitlist mortality and organ yield.

ABSTRACT: Variation in heart and lung offer acceptance practices may affect numbers of transplanted organs and create variability in waitlist mortality. To investigate these issues, offer acceptance ratios, or adjusted odds ratios, for heart and lung transplant programs individually and for all programs within donation service areas (DSAs) were estimated using offers from donors recovered July 1, 2016, and June 30, 2017. Logistic regressions estimated the association of DSA-level offer acceptance ratios with donor yield and local placement of organs recovered in the DSA. Competing risk methodology estimated the association of program-level offer acceptance ratios with incidence and rate of waitlist removals due to death or becoming too sick to undergo transplant. Higher DSA-level offer acceptance wa

SUBMITTER: Wey A 

PROVIDER: S-EPMC6836691 | biostudies-literature | 2018 Aug

REPOSITORIES: biostudies-literature