Equitable allocation of livers for orthotopic transplantation: an application of the analytic hierarchy process
The Analytic Hierarchy Process (AHP) was used to develop a rating system allocation of cadaver livers for orthotopic transplantation. Five major criteria for comparison were established, defined, and rated relative to one another: logistic considerations, tissue compatibility, waiting time, financia...
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| Veröffentlicht in: | European journal of operational research 1990-09, Vol.48 (1), p.49-56 |
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| creator | RYAN COOK, D SANDRA STASCHAK GREEN, W. T |
| description | The Analytic Hierarchy Process (AHP) was used to develop a rating system allocation of cadaver livers for orthotopic transplantation. Five major criteria for comparison were established, defined, and rated relative to one another: logistic considerations, tissue compatibility, waiting time, financial considerations, and medical status. Subcriteria were also established and rated to one another in relative terms. Patients that met appropriate inclusion screening criteria were then ranked for selection by assigning the appropriate rating to subcriteria in the major selection criteria. Final weighing can be used to develop an alternative to the rigid computerized multifactorial point system that now exists. The AHP process is thus shown to be useful in complex medical decision making. The point system was never formally evaluated; it depends on the intuition of the people using it. The use of AHP may provide the necessary equitable evaluation to rationally justify the allocation of livers for transplantation. |
| doi_str_mv | 10.1016/0377-2217(90)90060-O |
| format | Article |
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T</creatorcontrib><title>Equitable allocation of livers for orthotopic transplantation: an application of the analytic hierarchy process</title><title>European journal of operational research</title><addtitle>Eur J Oper Res</addtitle><description>The Analytic Hierarchy Process (AHP) was used to develop a rating system allocation of cadaver livers for orthotopic transplantation. Five major criteria for comparison were established, defined, and rated relative to one another: logistic considerations, tissue compatibility, waiting time, financial considerations, and medical status. Subcriteria were also established and rated to one another in relative terms. Patients that met appropriate inclusion screening criteria were then ranked for selection by assigning the appropriate rating to subcriteria in the major selection criteria. Final weighing can be used to develop an alternative to the rigid computerized multifactorial point system that now exists. The AHP process is thus shown to be useful in complex medical decision making. The point system was never formally evaluated; it depends on the intuition of the people using it. The use of AHP may provide the necessary equitable evaluation to rationally justify the allocation of livers for transplantation.</description><subject>Bioethics</subject><subject>Biological and medical sciences</subject><subject>Computers</subject><subject>Criteria</subject><subject>Data collection</subject><subject>Decision Support Techniques</subject><subject>Diagnosis</subject><subject>Economics</subject><subject>Health Care Rationing</subject><subject>Hierarchies</subject><subject>Humans</subject><subject>Liver</subject><subject>Liver, biliary tract, pancreas, portal circulation, spleen</subject><subject>Medical sciences</subject><subject>Methods</subject><subject>Operations research</subject><subject>Organ Transplantation</subject><subject>Patient Selection</subject><subject>Patients</subject><subject>Prognosis</subject><subject>Ratings</subject><subject>Reference Standards</subject><subject>Resource Allocation</subject><subject>Statistical analysis</subject><subject>Studies</subject><subject>Surgery (general aspects). 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Graft diseases</subject><subject>Surgery of the digestive system</subject><subject>Transplantation</subject><issn>0377-2217</issn><issn>1872-6860</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1990</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>X2L</sourceid><recordid>eNqFkV2L1DAUhoso7uzqPxApIqIX1XPa5qPeybLrCgtzo9fhNJPSDJlJN0kX5t-b7gyz4I2BkwTyvOcjb1G8Q_iKgPwbNEJUdY3icwdfOgAO1fpFsUIp6opLDi-L1Rm5KC5j3AIAMmSviwtEzroWcFX4m4fZJuqdKck5rylZvy_9UDr7aEIsBx9KH9Lok5-sLlOgfZwc7dMT-L2kfUnT5OyzMI051Z7cIWV-tCZQ0OOhnILXJsY3xauBXDRvT-dV8ef25vf1XXW__vnr-sd9pVvGUsWEQOKyoU036J5g4BsUwLHnfW9ML3rkXEpGvGUcSaPREmWjpYTeNANumqvi0zFvrvswm5jUzkZtXG7d-Dkq0bE6_w78F6yZZCC5yOCHf8Ctn0MeNDPQYi3ynqH2COngYwxmUFOwOwoHhaAW29TiiVo8UR2oJ9vUOsvujrJgJqPPGpPX1gcT1aNqqJV5O-TALksbsss1x7S8dYpxNaZdTvX-1Obc78zmuf7J8gx8PAEUNbkhO6ptPHN5WNFC1_wFl3255Q</recordid><startdate>19900905</startdate><enddate>19900905</enddate><creator>RYAN COOK, D</creator><creator>SANDRA STASCHAK</creator><creator>GREEN, W. 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T</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c455t-5771a683ad9fcba0f6d17061b6bbeeb7b166885a64561ac1ec8183c880be3f1d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1990</creationdate><topic>Bioethics</topic><topic>Biological and medical sciences</topic><topic>Computers</topic><topic>Criteria</topic><topic>Data collection</topic><topic>Decision Support Techniques</topic><topic>Diagnosis</topic><topic>Economics</topic><topic>Health Care Rationing</topic><topic>Hierarchies</topic><topic>Humans</topic><topic>Liver</topic><topic>Liver, biliary tract, pancreas, portal circulation, spleen</topic><topic>Medical sciences</topic><topic>Methods</topic><topic>Operations research</topic><topic>Organ Transplantation</topic><topic>Patient Selection</topic><topic>Patients</topic><topic>Prognosis</topic><topic>Ratings</topic><topic>Reference Standards</topic><topic>Resource Allocation</topic><topic>Statistical analysis</topic><topic>Studies</topic><topic>Surgery (general aspects). 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T</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Equitable allocation of livers for orthotopic transplantation: an application of the analytic hierarchy process</atitle><jtitle>European journal of operational research</jtitle><addtitle>Eur J Oper Res</addtitle><date>1990-09-05</date><risdate>1990</risdate><volume>48</volume><issue>1</issue><spage>49</spage><epage>56</epage><pages>49-56</pages><issn>0377-2217</issn><eissn>1872-6860</eissn><coden>EJORDT</coden><abstract>The Analytic Hierarchy Process (AHP) was used to develop a rating system allocation of cadaver livers for orthotopic transplantation. Five major criteria for comparison were established, defined, and rated relative to one another: logistic considerations, tissue compatibility, waiting time, financial considerations, and medical status. Subcriteria were also established and rated to one another in relative terms. Patients that met appropriate inclusion screening criteria were then ranked for selection by assigning the appropriate rating to subcriteria in the major selection criteria. Final weighing can be used to develop an alternative to the rigid computerized multifactorial point system that now exists. The AHP process is thus shown to be useful in complex medical decision making. The point system was never formally evaluated; it depends on the intuition of the people using it. The use of AHP may provide the necessary equitable evaluation to rationally justify the allocation of livers for transplantation.</abstract><cop>Amsterdam</cop><pub>Elsevier</pub><pmid>11659401</pmid><doi>10.1016/0377-2217(90)90060-O</doi><tpages>8</tpages></addata></record> |
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| ispartof | European journal of operational research, 1990-09, Vol.48 (1), p.49-56 |
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| source | MEDLINE; RePEc; Elsevier ScienceDirect Journals |
| subjects | Bioethics Biological and medical sciences Computers Criteria Data collection Decision Support Techniques Diagnosis Economics Health Care Rationing Hierarchies Humans Liver Liver, biliary tract, pancreas, portal circulation, spleen Medical sciences Methods Operations research Organ Transplantation Patient Selection Patients Prognosis Ratings Reference Standards Resource Allocation Statistical analysis Studies Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the digestive system Transplantation |
| title | Equitable allocation of livers for orthotopic transplantation: an application of the analytic hierarchy process |
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