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Center variations in patient selection for simultaneous heart-kidney transplantation
dc.contributor.authorShaw, Brian I.
dc.contributor.authorSamoylova, Marya L.
dc.contributor.authorBarbas, Andrew S.
dc.contributor.authorCheng, Xingxing S.
dc.contributor.authorLu, Yee
dc.contributor.authorMcElroy, Lisa M.
dc.contributor.authorSanoff, Scott
dc.date.accessioned2022-06-01T20:31:18Z
dc.date.available2023-06-01 16:31:17en
dc.date.available2022-06-01T20:31:18Z
dc.date.issued2022-05
dc.identifier.citationShaw, Brian I.; Samoylova, Marya L.; Barbas, Andrew S.; Cheng, Xingxing S.; Lu, Yee; McElroy, Lisa M.; Sanoff, Scott (2022). "Center variations in patient selection for simultaneous heart-kidney transplantation." Clinical Transplantation 36(5): n/a-n/a.
dc.identifier.issn0902-0063
dc.identifier.issn1399-0012
dc.identifier.urihttps://hdl.handle.net/2027.42/172855
dc.description.abstractThere are no established regulations governing patient selection for simultaneous heart-kidney (SHK) transplantation, creating the potential for significant center-level variations in clinical practice.MethodsUsing the United Network for Organ Sharing (UNOS) Standard Transplant Analysis and Research (STAR) file, we examined practice trends and variations in patient selection for SHK at the center level between January 1, 2004 and March 31, 2019.ResultsOverall, SHK is becoming more common with most centers performing heart transplants also performing SHK. Among patients who underwent heart transplant who were receiving dialysis, the rate of SHK varied from 22% to 86% at the center level. Among patients not on dialysis, the median estimated glomerular filtration rate (eGFR) of patients receiving SHK varied between 19 and 59 mL/min/1.73 m2. When adjusting for other factors, the odds of SHK varied 57-fold between the highest and lowest SHK performing centers.ConclusionVariation in SHK at the center level suggests the need for national guidelines around the selection of patients for SHK.
dc.publisherWiley Periodicals, Inc.
dc.subject.otherwaitlist management
dc.subject.otherUnited Network for Organ Sharing
dc.subject.otherorgan allocation
dc.subject.othermulti-organ transplant
dc.titleCenter variations in patient selection for simultaneous heart-kidney transplantation
dc.typeArticle
dc.rights.robotsIndexNoFollow
dc.subject.hlbsecondlevelMedicine (General)
dc.subject.hlbtoplevelHealth Sciences
dc.description.peerreviewedPeer Reviewed
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/172855/1/ctr14619.pdf
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/172855/2/ctr14619_am.pdf
dc.identifier.doi10.1111/ctr.14619
dc.identifier.sourceClinical Transplantation
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dc.working.doiNOen
dc.owningcollnameInterdisciplinary and Peer-Reviewed


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