Journal article
Economic and financial outcomes in transplantation: whose dime is it anyway?
Current opinion in organ transplantation, Vol.18(2), pp.222-228
04/2013
DOI: 10.1097/MOT.0b013e32835f0757
PMID: 23449346
Abstract
Organ transplant is a resource-intensive service that has been subjected to increasing scrutiny in this era of cost containment. A detailed understanding of the economic (societal) and financial (transplant provider) implications of organ quality, recipient characteristics, and allocation policy is vital for the transplant professionals.
Prior studies of kidney transplant economics demonstrate significant cost savings achieved by eliminating the need for long-term dialysis. However, transplant providers are experiencing higher financial costs because of changes in recipient characteristics and broader use of marginal organs. Liver transplantation economics are also more challenging because of the severity of illness-based organ allocation. Furthermore, the use of more allografts recovered from donors after cardiac death has been demonstrated to increase costs with minimal benefits. Finally, successful long-term mechanical support devices have fundamentally changed the economic implications of advanced heart failure care.
Although care for end-stage organ failure through transplant is one of the landmark accomplishments of 20th century medicine, maintaining or expanding access to transplant care is threatened by the high cost of care. Novel strategies are vital to reduce the financial burden faced by the centers that transplant high-risk patients and utilize lower quality organs.
Details
- Title: Subtitle
- Economic and financial outcomes in transplantation: whose dime is it anyway?
- Creators
- David A Axelrod - Dartmouth–Hitchcock Medical Center
- Resource Type
- Journal article
- Publication Details
- Current opinion in organ transplantation, Vol.18(2), pp.222-228
- DOI
- 10.1097/MOT.0b013e32835f0757
- PMID
- 23449346
- ISSN
- 1087-2418
- eISSN
- 1531-7013
- Grant note
- 1RC1DK086450-01 / NIDDK NIH HHS
- Language
- English
- Date published
- 04/2013
- Academic Unit
- Surgery
- Record Identifier
- 9984322815102771
Metrics
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