The Kidney Transplant Evaluation Process in the Elderly: Reasons for Being Turned down and Opportunities to Improve Cost-Effectiveness in a Single Center
المؤلفون المشاركون
Concepcion, Beatrice P.
Forbes, Rachel C.
Bian, Aihua
Schaefer, Heidi M.
المصدر
العدد
المجلد 2016، العدد 2016 (31 ديسمبر/كانون الأول 2016)، ص ص. 1-8، 8ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2016-08-04
دولة النشر
مصر
عدد الصفحات
8
التخصصات الرئيسية
الملخص EN
Background.
The kidney transplant evaluation process for older candidates is complex due to the presence of multiple comorbid conditions.
Methods.
We retrospectively reviewed patients ≥60 years referred to our center for kidney transplantation over a 3-year period.
Variables were collected to identify reasons for patients being turned down and to determine the number of unnecessary tests performed.
Statistical analysis was performed to estimate the association between clinical predictors and listing status.
Results.
345 patients were included in the statistical analysis.
31.6% of patients were turned down: 44% due to coronary artery disease (CAD), peripheral vascular disease (PVD), or both.
After adjustment for patient demographics and comorbid conditions, history of CAD, PVD, or both (OR = 1.75, 95% CI (1.20, 2.56), p = 0.00 4 ), chronic obstructive pulmonary disease (OR = 8.75, 95% CI (2.81, 27.20), p = 0.0002 ), and cancer (OR 2.59, 95% CI (1.18, 5.67), p = 0.0 2 ) were associated with a higher risk of being turned down.
14.8% of patients underwent unnecessary basic testing and 9.6% underwent unnecessary supplementary testing with the charges over a 3-year period estimated at $304,337.
Conclusion.
A significant number of older candidates are deemed unacceptable for kidney transplantation with primary reasons cited as CAD and PVD.
The overall burden of unnecessary testing is substantial and potentially avoidable.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Concepcion, Beatrice P.& Forbes, Rachel C.& Bian, Aihua& Schaefer, Heidi M.. 2016. The Kidney Transplant Evaluation Process in the Elderly: Reasons for Being Turned down and Opportunities to Improve Cost-Effectiveness in a Single Center. Journal of Transplantation،Vol. 2016, no. 2016, pp.1-8.
https://search.emarefa.net/detail/BIM-1110899
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Concepcion, Beatrice P.…[et al.]. The Kidney Transplant Evaluation Process in the Elderly: Reasons for Being Turned down and Opportunities to Improve Cost-Effectiveness in a Single Center. Journal of Transplantation No. 2016 (2016), pp.1-8.
https://search.emarefa.net/detail/BIM-1110899
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Concepcion, Beatrice P.& Forbes, Rachel C.& Bian, Aihua& Schaefer, Heidi M.. The Kidney Transplant Evaluation Process in the Elderly: Reasons for Being Turned down and Opportunities to Improve Cost-Effectiveness in a Single Center. Journal of Transplantation. 2016. Vol. 2016, no. 2016, pp.1-8.
https://search.emarefa.net/detail/BIM-1110899
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1110899
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر