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The Cost of Procuring Deceased Donor Livers: Evidence From US Organ Procurement Organization Cost Reports, 2013-2018.

التفاصيل البيبلوغرافية
العنوان: The Cost of Procuring Deceased Donor Livers: Evidence From US Organ Procurement Organization Cost Reports, 2013-2018.
المؤلفون: Bragg-Gresham JL; Department of Internal Medicine - Nephrology, University of Michigan, Ann Arbor, Michigan, USA., Peters TG; Department of Surgery, University of Florida, Jacksonville, Florida, USA., Vaughan WP; Transplant Solutions, LLC, Largo, Florida, USA., Held P; Division of Nephrology, Stanford University School of Medicine, Stanford, California, USA., McCormick F; Research Economist, Former Director of US Economic and Financial Research, Bank of America (retired), Walnut Creek, California, USA., Roberts JP; Department of Surgery, Division of Transplant Surgery, University of California San Francisco, San Francisco, California, USA.
المصدر: Clinical transplantation [Clin Transplant] 2024 Sep; Vol. 38 (9), pp. e15452.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Munksgaard Country of Publication: Denmark NLM ID: 8710240 Publication Model: Print Cited Medium: Internet ISSN: 1399-0012 (Electronic) Linking ISSN: 09020063 NLM ISO Abbreviation: Clin Transplant Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Copenhagen : Munksgaard,
مواضيع طبية MeSH: Tissue and Organ Procurement*/economics , Liver Transplantation*/economics , Tissue Donors*/supply & distribution, Humans ; United States ; Health Care Costs/statistics & numerical data ; Prognosis ; Male ; Follow-Up Studies
مستخلص: Deceased donor organs for transplantation are costly. Expenses include donor assessment, pre-operative care of acceptable donors, surgical organ recovery, preservation and transport, and other costs. US Organ Procurement Organizations (OPOs) serve defined geographic areas in which each OPO has exclusive organ recovery responsibilities including detailed reporting of costs. We sought to determine the costs of procuring deceased donor livers by examining reported organ acquisition costs from OPO cost reports. Using 6 years of US OPO cost report data for each OPO (2013-2018), we determined the average cost of recovering a viable (i.e., transplanted) liver for each of the 51 independent US OPOs. We examined predictors of these costs including the number of livers procured, the percent of nonviable livers, direct procurement costs, coordinator salaries, professional education, and local cost of living. A cost curve estimated the relationship between the cost of livers and the number of locally procured livers. The average cost of procured livers by individual OPO-year varied widely from $11 393 to $65 556 (average $31 659) over the six study years. An increase in the overall number of procured livers was associated with lower direct costs, administrative, and procurement overhead costs, but this association differed for imported livers. Cost per local liver decreased linearly for each additional liver, while importing more livers was only cost saving until 200 livers, with imported livers costing more ($39K vs. $31.7K). The largest predictor of variation in cost was the aggregate of direct costs (e.g., hospital costs) to recover the organ (57%). Cost increases were 2.5% per year (+$766/year). This information may be valuable in determining how OPOs might improve service to transplant centers and the patients they serve.
(© 2024 The Author(s). Clinical Transplantation published by Wiley Periodicals LLC.)
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فهرسة مساهمة: Keywords: Organ Procurement Organization; donors and donation: deceased; liver transplantation: auxiliary
تواريخ الأحداث: Date Created: 20240906 Date Completed: 20240906 Latest Revision: 20240906
رمز التحديث: 20240906
DOI: 10.1111/ctr.15452
PMID: 39238430
قاعدة البيانات: MEDLINE
الوصف
تدمد:1399-0012
DOI:10.1111/ctr.15452