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Status: Bibliographieeintrag

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Verfasst von:Bruns, Helge [VerfasserIn]   i
 Hillebrand, Norbert [VerfasserIn]   i
 Schneider, Tobias [VerfasserIn]   i
 Hinz, Ulf [VerfasserIn]   i
 Fischer, Lars [VerfasserIn]   i
 Schmidt, Jan [VerfasserIn]   i
 Goldschmidt, Andreas J. W. [VerfasserIn]   i
 Schemmer, Peter [VerfasserIn]   i
Titel:LabMELD-based organ allocation increases total costs of liver transplantation
Titelzusatz:a single-center experience
Verf.angabe:Helge Bruns, Norbert Hillebrand, Tobias Schneider, Ulf Hinz, Lars Fischer, Jan Schmidt, Andreas J.W. Goldschmidt and Peter Schemmer
E-Jahr:2011
Jahr:September/October 2011
Umfang:8 S.
Fussnoten:Online veröffentlicht: 17. Mai 2011 ; Gesehen am 24.06.2022
Titel Quelle:Enthalten in: Clinical transplantation
Ort Quelle:Oxford [u.] : Wiley-Blackwell, 1999
Jahr Quelle:2011
Band/Heft Quelle:25(2011), 5 vom: Sept./Okt., Seite E558-E565
ISSN Quelle:1399-0012
Abstract:Introduction: In 2006, model for end-stage liver disease (MELD)-based allocation was implemented in the Eurotransplant (ET) region. Sick patients, who in general require more resources, are prioritized. In this analysis, the effect of MELD on costs for liver transplantation (LTx) was assessed. Methods: Total costs for LTx before and after implementation of MELDwere identified in 256 patients from January 2005-December 2007. Forty-nine patients (Re-LTx, HU listings, and 30-d mortality) were excluded from further analysis. The costs of LTx in 207 patients have been correlated with their corresponding labMELD; 84 and 123 LTx before and after implementation of MELD were compared, and patient survival was monitored. Results: A positive correlation exists between labMELD and costs (r2= 0.28; p < 0.05). Only nominal correlation existed between the Child-Pugh classification and costs. The labMELD scores can be stratified into four groups (I: 6–10, II: 11–18, III: 19–24, and IV: >24), with an increase of €15.672 ± 2.233 between each group (p < 0.05). Recipients ÕlabMELD at the time of LTx increased significantly in the MELD-based allocation system. Costs increased by €11.650/patient (p < 0.05), while median survival decreased from 1219 to 869 d (p < 0.05). Conclusion: LabMELD-based allocation increased total costs of LTx. In accordance with other studies, the sickest patients need the most resources.
DOI:doi:10.1111/j.1399-0012.2011.01483.x
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext: https://doi.org/10.1111/j.1399-0012.2011.01483.x
 Volltext: https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1399-0012.2011.01483.x
 DOI: https://doi.org/10.1111/j.1399-0012.2011.01483.x
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:costs
 liver transplantation
 model for end-stage liver disease
 organ allocation
K10plus-PPN:1807748219
Verknüpfungen:→ Zeitschrift

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