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Shorter wait means longer life for kidney transplant candidates
Date:2/19/2009

online from the Scientific Registry of Transplant Recipients and the U.S. Renal Data System.

Still, many patients might not feel that they have a choice they go where their physician or insurer tells them to, or to the center closest to home.

"Patients should ask the question 'how likely am I to get a kidney at this center?'" said Robert Gaston, M.D., head of transplant nephrology at the University of Alabama, who was not involved in the study. "I think it's reasonable to ask that of their doctor, their insurance company and the transplant center they're referred to."

But whether patients have much choice in selecting a transplant center may be less important than just raising the issue of whether listing preferences and practices at different centers might need scrutiny, UCLA's Cecka said.

Just as his identification in the 1970s of the "center effect" on transplantation outcomes sparked interest in reducing skill differences among centers, this newly described "center effect" on candidate survival might invite a look at how to improve wait-listed patients' chances by addressing center variations.

Experts caution that center factors change over time, and that what might be the best place to go in a given year might not be the following year.

"Personnel and practices change it's not a static picture," Gaston said.


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Contact: Czerne M. Reid
czerne@ufl.edu
352-273-5814
University of Florida
Source:Eurekalert

Page: 1 2 3

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