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Public reporting has''t improved transplant centers' care

Date:
October 13, 2011
Source:
American Society of Nephrology
Summary:
Public reporting of the successes and failures of transplant centers has not diminished the gaps between the best and worst centers. If each center's performance matched that of the best center, about a third of deaths and organ failures could be averted. Additional studies are needed to investigate why public reports have not reduced differences across transplant centers

When transplant clinics must publicly report their success rates, this should provide an incentive to improve care for patients. But a recent study appearing in an upcoming issue of the Clinical Journal of the American Society Nephrology (CJASN) found that such public reporting has not had any effect on the care that transplant patients receive.

Public reports of the successes and failures of clinics can help patients choose where they want to receive medical care. Reports can also help the clinics themselves correct their shortcomings to improve the care they provide. But such reports are only useful if they contain accurate information.

Constantia Petrou, PhD (Culmini Inc.), Stefanos Zenios, PhD (Culmini Inc. and Stanford University) and their colleagues compared the accuracy of two methods that can be used in public reporting of transplant centers. They found that the current method that is widely used is less accurate than a new method (called a generalized mixed effect method) that can provide a more realistic assessment of differences across centers. Using and improving this new method and communicating its results to kidney specialists who recommend transplant centers to their patients could strengthen the effectiveness of public reports.

The new method revealed that the gaps between the best and worst clinics did not diminish after public reporting was introduced in 2001. The authors advocate for additional studies to investigate why public reports have not reduced differences across transplant centers. "If public reports did become effective and each center's outcomes matched those of the center with the best outcomes, 29% of deaths and 33% of organ failures could be averted," said Dr. Petrou. "Missing such potential improvements is like having one Boeing 747 with transplant recipients crash every year," she explained.

Study co-authors include Charles McCulloch, PhD (University of California San Francisco) and Glenn Atias (Culmini Inc.).


Story Source:

The above story is based on materials provided by American Society of Nephrology. Note: Materials may be edited for content and length.


Journal Reference:

  1. S. Zenios, G. Atias, C. McCulloch, C. Petrou. Outcome Differences across Transplant Centers: Comparison of Two Methods for Public Reporting. Clinical Journal of the American Society of Nephrology, 2011; DOI: 10.2215/CJN.00300111

Cite This Page:

American Society of Nephrology. "Public reporting has''t improved transplant centers' care." ScienceDaily. ScienceDaily, 13 October 2011. <www.sciencedaily.com/releases/2011/10/111013135250.htm>.
American Society of Nephrology. (2011, October 13). Public reporting has''t improved transplant centers' care. ScienceDaily. Retrieved July 28, 2014 from www.sciencedaily.com/releases/2011/10/111013135250.htm
American Society of Nephrology. "Public reporting has''t improved transplant centers' care." ScienceDaily. www.sciencedaily.com/releases/2011/10/111013135250.htm (accessed July 28, 2014).

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