Economic considerations in abdominal transplantation.


Journal

Best practice & research. Clinical anaesthesiology
ISSN: 1878-1608
Titre abrégé: Best Pract Res Clin Anaesthesiol
Pays: Netherlands
ID NLM: 101121446

Informations de publication

Date de publication:
Mar 2020
Historique:
received: 30 11 2019
revised: 26 12 2019
accepted: 08 01 2020
entrez: 27 4 2020
pubmed: 27 4 2020
medline: 5 3 2021
Statut: ppublish

Résumé

Care for end-stage organ failure through transplant is one of the landmark accomplishments of the modern medicine. At the same time, organ transplant is a resource-intensive service that has been under increasing scrutiny in this era of cost containment. A detailed understanding of the economic 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. Liver transplantation economics are also more challenging because of organ allocation based on the severity of illness. Furthermore, the broader use of marginal organs has been demonstrated to increase costs. Novel strategies are vital to reduce the financial burden faced by the centers that perform transplantations on elevated risk patients and utilize lower quality organs.

Identifiants

pubmed: 32334783
pii: S1521-6896(20)30002-1
doi: 10.1016/j.bpa.2020.01.002
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

15-23

Informations de copyright

Copyright © 2020 Elsevier Ltd. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of Competing interest None.

Auteurs

Evan E Lebovitz (EE)

Department of Anesthesiology and Perioperative Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA, USA. Electronic address: lebovitzee2@upmc.edu.

Anh Vinh T Nguyen (AVT)

Department of Anesthesiology and Perioperative Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA, USA. Electronic address: nguyenat@upmc.edu.

Tetsuro Sakai (T)

Department of Anesthesiology and Perioperative Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA, USA. Electronic address: sakait@upmc.edu.

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Classifications MeSH