Anil Chandraker|Kenneth A. Andreoni|Robert S. Gaston|John S. Gill|Jayme E. Locke|Amit Mathur|Douglas J. Norman|Rachel E. Patzer|Abbas Rana|Lloyd E. Ratner|Jesse D. Schold|Timothy L. Pruett
Time for reform in transplant program–specific reporting: AST/ASTS transplant metrics taskforce
Brigham and Women's Hospital|Harvard University|University of Florida|Clinical Trial and Consulting|Providence Health Care Research Institute|Mayo Clinic in Florida|Winneshiek Medical Center|Emory University|Baylor College of Medicine|Columbia University|Cleveland Clinic|University of Minnesota
accordance national organ transplant act department health human services final rule scientific registry transplant recipients srtr publicly releases biannual programspecific reports include analyses transplant centers riskadjusted waitlist mortality organ acceptance ratios transplant rates graft patient survival since inception center metrics 1year posttransplant graft patient survival improved center variation decreased casting uncertainty clinical relevance srtr recently modified center evaluations ranking centers 5 tiers rather 3 tiers attempt discriminate programs performing within tight range exacerbating uncertainty american society transplantationamerican society transplant surgeons convened expert taskforce examine utility unintended consequences transplant center metrics estimates center variation outcomes adjacent tiers imprecise fleeting result consequential changes clinician center behavior taskforce concerns current metrics based principally 1year graft patient survival provide minimal benefit informing patient choice access transplantation untoward effect decreased utilization organs restriction research innovation accordance national organ transplant act department health human services final rule scientific registry transplant recipients srtr publicly releases biannual programspecific reports include analyses transplant centers riskadjusted waitlist mortality organ acceptance ratios transplant rates graft patient survival since inception center metrics 1year posttransplant graft patient survival improved center variation decreased casting uncertainty clinical relevance srtr recently modified center evaluations ranking centers 5 tiers rather 3 tiers attempt discriminate programs performing within tight range exacerbating uncertainty american society transplantationamerican society transplant surgeons convened expert taskforce examine utility unintended consequences transplant center metrics estimates center variation outcomes adjacent tiers imprecise fleeting result consequential changes clinician center behavior taskforce concerns current metrics based principally 1year graft patient survival provide minimal benefit informing patient choice access transplantation untoward effect decreased utilization organs restriction research innovation