Hidden selection bias deriving from donor organ characteristics does not affect performance evaluations of kidney transplant centers

Medical Care

Volumn 48, Issue 10, 2010, Pages 907-914

  Schold, Jesse D ^a,b   Srinivas, Titte R ^a   Poggio, Emilio D ^a,b   Stephany, Brian R ^a,b   Flechner, Stuart M ^a,b   Goldfarb, David A ^a,b   Kattan, Michael W ^a,b  

^a LERNER RESEARCH INSTITUTE   (United States)

^b CLEVELAND CLINIC LERNER COLLEGE OF MEDICINE   (United States)

Author keywords

center effects; deceased donors; kidney transplantation; performance evaluation; report cards; selection bias

Indexed keywords

ADULT; ARTICLE; DONOR SELECTION; GRAFT RECIPIENT; GRAFT SURVIVAL; HEALTH CARE QUALITY; HEALTH CENTER; HUMAN; KIDNEY DONOR; KIDNEY TRANSPLANTATION; MAJOR CLINICAL STUDY; PERFORMANCE MEASUREMENT SYSTEM; PRIORITY JOURNAL; RISK ASSESSMENT; STATISTICAL ANALYSIS; AGED; DONOR; EPIDEMIOLOGY; FEMALE; HEALTH CARE FACILITY; HOSPITAL MANAGEMENT; MALE; MIDDLE AGED; OUTCOME ASSESSMENT; SELECTION BIAS; STANDARDS; STATISTICS AND NUMERICAL DATA; TRANSPLANTATION; UNITED STATES;

ADULT; AGED; DONOR SELECTION; FEMALE; HEALTH FACILITIES; HEALTH FACILITY ADMINISTRATION; HUMANS; KIDNEY TRANSPLANTATION; MALE; MIDDLE AGED; OUTCOME ASSESSMENT (HEALTH CARE); SELECTION BIAS; TISSUE AND ORGAN PROCUREMENT; TISSUE DONORS; UNITED STATES;

EID: 77957287536     PISSN: 00257079     EISSN: None     Source Type: Journal    
DOI: 10.1097/MLR.0b013e3181e57a4d     Document Type: Article

References (29)

1. Epstein AM. The role of quality measurement in a competitive marketplace. Baxter Health Policy Rev. 1996;2:207-234.
2. RAND Health. Report Cards for Health Care. Available at: http://www. rand.org/pubs/research-briefs/RB4544/index1.html. Accessed October 7, 2007.
3. Iezzoni LI. The risks of risk adjustment. JAMA. 1997;278:1600-1607.
4. Werner RM, Asch DA. The unintended consequences of publicly reporting quality information. JAMA. 2005;293:1239-1244.
5. Riskin L, Campagna JA. Quality assessment by external bodies: intended and unintended impact on healthcare delivery. Curr Opin Anaes-thesiol. 2009;22:237-241.
6. Werner RM, Asch DA, Polsky D. Racial profiling: the unintended consequences of coronary artery bypass graft report cards. Circulation. 2005;111:1257-1263
7. United Network for Organ Sharing. Current U.S. Waiting List. Available at: http://optn.transplant.hrsa.gov/latestData/rptData. asp. Accessed February 4, 2010.
8. United Network for Organ Sharing. Transplants by Donor Type. Available at: http://optn.transplant.hrsa.gov/latestData/rptData. asp. Accessed December 7, 2009.
9. Glanton CW, Kao TC, Cruess D, et al. Impact of renal transplantation on survival in end-stage renal disease patients with elevated body mass index. Kidney Int. 2003;63:647-653.
10. Ojo AO, Hanson JA, Meier-Kriesche H, et al. Survival in recipients of marginal cadaveric donor kidneys compared with other recipients and wait-listed transplant candidates. J Am Soc Nephrol. 2001;12: 589-597.
11. Wolfe RA, Ashby VB, Milford EL, et al. Comparison of mortality in all patients on dialysis, patients on dialysis awaiting transplantation, and recipients of a first cadaveric transplant. N Engl J Med. 1999;341:1725-1730
12. New Medicare Hospital Conditions of Participation for Transplant Centers. Centers for Medicare and Medicaid Services 2007 March 22. Available at: http://www.cms.hhs.gov/apps/media/press/release.asp?Counter=2093& intNumPerPage=10&checkDate=&checkKey=&srchType=&numDays= 3500&srchOpt=0&srchData=&keywordType=All&chkNewsType= 1%2C+2%2C+3%2C+4%2C+5&intPage=&showAll=&pYear=&year=&desc= &cboOrder=date.
13. Mukamel DB, Mushlin AI. Quality of care information makes a difference: an analysis of market share and price changes after publication of the New York state cardiac surgery mortality reports. Med Care. 1998; 36:945-954.
14. Romano PS, Zhou H. Do well-publicized risk-adjusted outcomes reports affect hospital volume? Med Care. 2004;42:367-377.
15. Schold JD, Howard RJ. Prediction models assessing transplant center performance: can a little knowledge be a dangerous thing? Am J Transplant. 2006;6:245-246.
16. Dickinson DM, Shearon TH, O'Keefe J, et al. SRTR center-specific reporting tools: posttransplant outcomes. Am J Transplant. 2006;6: 1198-1211.
17. Dickinson DM, Arrington CJ, Fant G, et al. SRTR program-specific reports on outcomes: a guide for the new reader. Am J Transplant. 2008;8:1012-1026.
18. Aalen OO. Further results on the non-parametric linear regression model in survival analysis. Stat Med. 1993;12:1569-1588.
19. Gandy A, Jensen U. Model checks for Cox-type regression models based on optimally weighted martingale residuals. Lifetime Data Anal. 2009; 15:534-557.
20. Lin DY, Wei LJ. The robust inference for the Proportional Hazards Model. J Am Stat Assoc. 1989;84:1074-1078.
21. Epstein AM. Rolling down the runway: the challenges ahead for quality report cards. JAMA. 1998;279:1691-1696.
22. Schold JD. Evaluation criteria for report cards of healthcare providers. Adv Health Econ Health Serv Res. 2008;19:173-189.
23. Schold JD, Arrington CJ, Levine G. Significant alterations in reported clinical practice associated with increased oversight of organ transplant center performance. Progr Transplant. In press.
24. Machnicki G, Pinsky B, Takemoto S, et al. Predictive ability of pre-transplant comorbidities to predict long-term graft loss and death. Am J Transplant. 2009;9:494-505.
25. Schold JD, Srinivas TR, Howard RJ, et al. The association of candidate mortality rates with kidney transplant outcomes and center performance evaluations. Transplantation. 2008;85:1-6.
26. Weinhandl ED, Snyder JJ, Israni AK, et al. Effect of comorbidity adjustment on CMS criteria for kidney transplant center performance. Am J Transplant. 2009;9:506-516.
27. Howard RJ. The challenging triangle: balancing outcomes, transplant numbers and costs. Am J Transplant. 2007;7:2443-2445.
28. Gjertson DW, Terasaki PI. The large center variation in half-lives of kidney transplants. Transplantation. 1992;53:357-362.
29. Schold JD, Harman JS, Chumbler NR, et al. The pivotal impact of center characteristics on survival of candidates listed for deceased donor kidney transplantation. Med Care. 2009;47:146-153.