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The Effect of Race, Sex, and Insurance Status on Time-to-Listing Decisions for Liver Transplantation
Joint Authors
Chang, Chung-Chou Ho
Arnold, Robert M.
Roberts, Mark S.
Farrell, Maxwell
Bryce, Cindy L.
Angus, Derek C.
Source
Issue
Vol. 2010, Issue 2010 (31 Dec. 2010), pp.1-13, 13 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2010-12-23
Country of Publication
Egypt
No. of Pages
13
Main Subjects
Abstract EN
Fair allocation of organs to candidates listed for transplantation is fundamental to organ-donation policies.
Processes leading to listing decisions are neither regulated nor understood.
We explored whether patient characteristics affected timeliness of listing using population-based data on 144,507 adults hospitalized with liver-related disease in Pennsylvania.
We linked hospitalizations to other secondary data and found 3,071 listed for transplants, 1,537 received transplants, and 57,020 died.
Among candidates, 61% (n=1,879) and 85.5% (n=2,626) were listed within 1 and 3 years of diagnosis; 26.7% (n=1,130) and 95% (n=1,468) of recipients were transplanted within 1 and 3 years of listing.
Using competing-risks models, we found few overall differences by sex, but both black patients and those insured by Medicare and Medicaid (combined) waited longer before being listed.
Patients with combined Medicare and Medicaid insurance, as well as those with Medicaid alone, were also more likely to die without ever being listed.
Once listed, the time to transplant was slightly longer for women, but it did not differ by race/ethnicity or insurance.
The early time period from diagnosis to listing for liver transplantation reveals unwanted variation related to demographics that jeopardizes overall fairness of organ allocation and needs to be further explored.
American Psychological Association (APA)
Bryce, Cindy L.& Chang, Chung-Chou Ho& Angus, Derek C.& Arnold, Robert M.& Farrell, Maxwell& Roberts, Mark S.. 2010. The Effect of Race, Sex, and Insurance Status on Time-to-Listing Decisions for Liver Transplantation. Journal of Transplantation،Vol. 2010, no. 2010, pp.1-13.
https://search.emarefa.net/detail/BIM-473862
Modern Language Association (MLA)
Bryce, Cindy L.…[et al.]. The Effect of Race, Sex, and Insurance Status on Time-to-Listing Decisions for Liver Transplantation. Journal of Transplantation No. 2010 (2010), pp.1-13.
https://search.emarefa.net/detail/BIM-473862
American Medical Association (AMA)
Bryce, Cindy L.& Chang, Chung-Chou Ho& Angus, Derek C.& Arnold, Robert M.& Farrell, Maxwell& Roberts, Mark S.. The Effect of Race, Sex, and Insurance Status on Time-to-Listing Decisions for Liver Transplantation. Journal of Transplantation. 2010. Vol. 2010, no. 2010, pp.1-13.
https://search.emarefa.net/detail/BIM-473862
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-473862