Resource Utilization Associated With Procurement of Transplantable Organs From Donors That Do Not Meet OPTN Eligible Death Criteria
BACKGROUNDThe strategy of evaluating every donation opportunity warrants an investigation into the financial feasibility of this practice. The purpose of this investigation is to measure resource utilization required for procurement of transplantable organs in an organ procurement organization (OPO)...
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| Veröffentlicht in: | Transplantation 2014-05, Vol.97 (10), p.1043-1048 |
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| creator | DuBay, Derek A Redden, David T Bryant, Mary K Dorn, David P Fouad, Mona N Gray, Stephen H White, Jared A Locke, Jayme E Meeks, Christopher B Taylor, Garry C Kilgore, Meredith L Eckhoff, Devin E |
| description | BACKGROUNDThe strategy of evaluating every donation opportunity warrants an investigation into the financial feasibility of this practice. The purpose of this investigation is to measure resource utilization required for procurement of transplantable organs in an organ procurement organization (OPO).
METHODSDonors were stratified into those that met OPTN-defined eligible death criteria (ED donors, n=589) and those that did not (NED donors, n=703). Variable direct costs and time utilization by OPO staff for organ procurement were measured and amortized per organ transplanted using permutation methods and statistical bootstrapping/resampling approaches.
RESULTSMore organs per donor were procured (3.66±1.2 vs. 2.34±0.8, P |
| doi_str_mv | 10.1097/01.TP.0000441093.32217.cb |
| format | Article |
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METHODSDonors were stratified into those that met OPTN-defined eligible death criteria (ED donors, n=589) and those that did not (NED donors, n=703). Variable direct costs and time utilization by OPO staff for organ procurement were measured and amortized per organ transplanted using permutation methods and statistical bootstrapping/resampling approaches.
RESULTSMore organs per donor were procured (3.66±1.2 vs. 2.34±0.8, P<0.0001) and transplanted (3.51±1.2 vs. 2.08±0.8, P<0.0001) in ED donors compared with NED donors. The variable direct costs were significantly lower in the NED donors ($29,879.4±11590.1 vs. $19,019.6±7599.60, P<0.0001). In contrast, the amortized variable direct costs per organ transplanted were significantly higher in the NED donors ($8,414.5±138.29 vs. $9,272.04±344.56, P<0.0001). The ED donors where thoracic organ procurement occurred were 67% more expensive than in abdominal-only organ procurement. The total time allocated per donor was significantly shorter in the NED donors (91.2±44.9 hr vs. 86.8±78.6 hr, P=0.01). In contrast, the amortized time per organ transplanted was significantly longer in the NED donors (23.1±0.8 hr vs. 36.9±3.2 hr, P<0.001).
DISCUSSIONThe variable direct costs and time allocated per organ transplanted is significantly higher in donors that do not meet the eligible death criteria.</description><identifier>ISSN: 0041-1337</identifier><identifier>EISSN: 1534-6080</identifier><identifier>DOI: 10.1097/01.TP.0000441093.32217.cb</identifier><identifier>PMID: 24503760</identifier><language>eng</language><publisher>United States: by Lippincott Williams & Wilkins</publisher><subject>Aged ; Brain Death ; Cost-Benefit Analysis ; Decision Making ; Feasibility Studies ; Female ; Humans ; Male ; Organ Transplantation - economics ; Organ Transplantation - utilization ; Tissue and Organ Procurement - organization & administration ; Tissue Donors - supply & distribution ; United States</subject><ispartof>Transplantation, 2014-05, Vol.97 (10), p.1043-1048</ispartof><rights>2014 by Lippincott Williams & Wilkins</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c477b-fd3c1d312e30573741d9ed0dc39b5d7e09b0014e68a554a94ff6b886dea7af373</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24503760$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>DuBay, Derek A</creatorcontrib><creatorcontrib>Redden, David T</creatorcontrib><creatorcontrib>Bryant, Mary K</creatorcontrib><creatorcontrib>Dorn, David P</creatorcontrib><creatorcontrib>Fouad, Mona N</creatorcontrib><creatorcontrib>Gray, Stephen H</creatorcontrib><creatorcontrib>White, Jared A</creatorcontrib><creatorcontrib>Locke, Jayme E</creatorcontrib><creatorcontrib>Meeks, Christopher B</creatorcontrib><creatorcontrib>Taylor, Garry C</creatorcontrib><creatorcontrib>Kilgore, Meredith L</creatorcontrib><creatorcontrib>Eckhoff, Devin E</creatorcontrib><title>Resource Utilization Associated With Procurement of Transplantable Organs From Donors That Do Not Meet OPTN Eligible Death Criteria</title><title>Transplantation</title><addtitle>Transplantation</addtitle><description>BACKGROUNDThe strategy of evaluating every donation opportunity warrants an investigation into the financial feasibility of this practice. The purpose of this investigation is to measure resource utilization required for procurement of transplantable organs in an organ procurement organization (OPO).
METHODSDonors were stratified into those that met OPTN-defined eligible death criteria (ED donors, n=589) and those that did not (NED donors, n=703). Variable direct costs and time utilization by OPO staff for organ procurement were measured and amortized per organ transplanted using permutation methods and statistical bootstrapping/resampling approaches.
RESULTSMore organs per donor were procured (3.66±1.2 vs. 2.34±0.8, P<0.0001) and transplanted (3.51±1.2 vs. 2.08±0.8, P<0.0001) in ED donors compared with NED donors. The variable direct costs were significantly lower in the NED donors ($29,879.4±11590.1 vs. $19,019.6±7599.60, P<0.0001). In contrast, the amortized variable direct costs per organ transplanted were significantly higher in the NED donors ($8,414.5±138.29 vs. $9,272.04±344.56, P<0.0001). The ED donors where thoracic organ procurement occurred were 67% more expensive than in abdominal-only organ procurement. The total time allocated per donor was significantly shorter in the NED donors (91.2±44.9 hr vs. 86.8±78.6 hr, P=0.01). In contrast, the amortized time per organ transplanted was significantly longer in the NED donors (23.1±0.8 hr vs. 36.9±3.2 hr, P<0.001).
DISCUSSIONThe variable direct costs and time allocated per organ transplanted is significantly higher in donors that do not meet the eligible death criteria.</description><subject>Aged</subject><subject>Brain Death</subject><subject>Cost-Benefit Analysis</subject><subject>Decision Making</subject><subject>Feasibility Studies</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Organ Transplantation - economics</subject><subject>Organ Transplantation - utilization</subject><subject>Tissue and Organ Procurement - organization & administration</subject><subject>Tissue Donors - supply & distribution</subject><subject>United States</subject><issn>0041-1337</issn><issn>1534-6080</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNUcFu1DAUtBCILi2_gMyNS4IdO_HmAFK1bSlS6a6qVBwtx3nZGJx4aztUcOXH67KlwA1f7Oc3M8-eQeg1JTkltXhLaN5scpIW5-mC5awoqMh1-wQtaMl4VpEleYoWqU8zypg4QC9C-JLwJRPiOTooeEmYqMgC_byC4GavAV9HY80PFY2b8HEIThsVocOfTRzwxjs9exhhitj1uPFqCjurpqhaC3jtt6nGZ96N-MRNzgfcDCqmM750EX8CiHi9aS7xqTVbc884AZVUV95E8EYdoWe9sgFePuyH6PrstFmdZxfrDx9XxxeZ5kK0Wd8xTTtGC2CkFExw2tXQkU6zui07AaRuCaEcqqUqS65q3vdVu1xWHSiheibYIXq_193N7QidTr_xysqdN6Py36VTRv7bmcwgt-6b5KTgydEk8OZBwLubGUKUowkabHIC3BwkLYtSVJzWVYLWe6j2LgQP_eMYSuR9iJJQ2WzknxDlrxClbhP31d_vfGT-Ti0B3u0Bt84mB8NXO9-ClwMoG4f_GHAHcziulw</recordid><startdate>20140527</startdate><enddate>20140527</enddate><creator>DuBay, Derek A</creator><creator>Redden, David T</creator><creator>Bryant, Mary K</creator><creator>Dorn, David P</creator><creator>Fouad, Mona N</creator><creator>Gray, Stephen H</creator><creator>White, Jared A</creator><creator>Locke, Jayme E</creator><creator>Meeks, Christopher B</creator><creator>Taylor, Garry C</creator><creator>Kilgore, Meredith L</creator><creator>Eckhoff, Devin E</creator><general>by Lippincott Williams & Wilkins</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20140527</creationdate><title>Resource Utilization Associated With Procurement of Transplantable Organs From Donors That Do Not Meet OPTN Eligible Death Criteria</title><author>DuBay, Derek A ; Redden, David T ; Bryant, Mary K ; Dorn, David P ; Fouad, Mona N ; Gray, Stephen H ; White, Jared A ; Locke, Jayme E ; Meeks, Christopher B ; Taylor, Garry C ; Kilgore, Meredith L ; Eckhoff, Devin E</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c477b-fd3c1d312e30573741d9ed0dc39b5d7e09b0014e68a554a94ff6b886dea7af373</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Aged</topic><topic>Brain Death</topic><topic>Cost-Benefit Analysis</topic><topic>Decision Making</topic><topic>Feasibility Studies</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Organ Transplantation - economics</topic><topic>Organ Transplantation - utilization</topic><topic>Tissue and Organ Procurement - organization & administration</topic><topic>Tissue Donors - supply & distribution</topic><topic>United States</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>DuBay, Derek A</creatorcontrib><creatorcontrib>Redden, David T</creatorcontrib><creatorcontrib>Bryant, Mary K</creatorcontrib><creatorcontrib>Dorn, David P</creatorcontrib><creatorcontrib>Fouad, Mona N</creatorcontrib><creatorcontrib>Gray, Stephen H</creatorcontrib><creatorcontrib>White, Jared A</creatorcontrib><creatorcontrib>Locke, Jayme E</creatorcontrib><creatorcontrib>Meeks, Christopher B</creatorcontrib><creatorcontrib>Taylor, Garry C</creatorcontrib><creatorcontrib>Kilgore, Meredith L</creatorcontrib><creatorcontrib>Eckhoff, Devin E</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Transplantation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>DuBay, Derek A</au><au>Redden, David T</au><au>Bryant, Mary K</au><au>Dorn, David P</au><au>Fouad, Mona N</au><au>Gray, Stephen H</au><au>White, Jared A</au><au>Locke, Jayme E</au><au>Meeks, Christopher B</au><au>Taylor, Garry C</au><au>Kilgore, Meredith L</au><au>Eckhoff, Devin E</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Resource Utilization Associated With Procurement of Transplantable Organs From Donors That Do Not Meet OPTN Eligible Death Criteria</atitle><jtitle>Transplantation</jtitle><addtitle>Transplantation</addtitle><date>2014-05-27</date><risdate>2014</risdate><volume>97</volume><issue>10</issue><spage>1043</spage><epage>1048</epage><pages>1043-1048</pages><issn>0041-1337</issn><eissn>1534-6080</eissn><abstract>BACKGROUNDThe strategy of evaluating every donation opportunity warrants an investigation into the financial feasibility of this practice. The purpose of this investigation is to measure resource utilization required for procurement of transplantable organs in an organ procurement organization (OPO).
METHODSDonors were stratified into those that met OPTN-defined eligible death criteria (ED donors, n=589) and those that did not (NED donors, n=703). Variable direct costs and time utilization by OPO staff for organ procurement were measured and amortized per organ transplanted using permutation methods and statistical bootstrapping/resampling approaches.
RESULTSMore organs per donor were procured (3.66±1.2 vs. 2.34±0.8, P<0.0001) and transplanted (3.51±1.2 vs. 2.08±0.8, P<0.0001) in ED donors compared with NED donors. The variable direct costs were significantly lower in the NED donors ($29,879.4±11590.1 vs. $19,019.6±7599.60, P<0.0001). In contrast, the amortized variable direct costs per organ transplanted were significantly higher in the NED donors ($8,414.5±138.29 vs. $9,272.04±344.56, P<0.0001). The ED donors where thoracic organ procurement occurred were 67% more expensive than in abdominal-only organ procurement. The total time allocated per donor was significantly shorter in the NED donors (91.2±44.9 hr vs. 86.8±78.6 hr, P=0.01). In contrast, the amortized time per organ transplanted was significantly longer in the NED donors (23.1±0.8 hr vs. 36.9±3.2 hr, P<0.001).
DISCUSSIONThe variable direct costs and time allocated per organ transplanted is significantly higher in donors that do not meet the eligible death criteria.</abstract><cop>United States</cop><pub>by Lippincott Williams & Wilkins</pub><pmid>24503760</pmid><doi>10.1097/01.TP.0000441093.32217.cb</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Transplantation, 2014-05, Vol.97 (10), p.1043-1048 |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Aged Brain Death Cost-Benefit Analysis Decision Making Feasibility Studies Female Humans Male Organ Transplantation - economics Organ Transplantation - utilization Tissue and Organ Procurement - organization & administration Tissue Donors - supply & distribution United States |
| title | Resource Utilization Associated With Procurement of Transplantable Organs From Donors That Do Not Meet OPTN Eligible Death Criteria |
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