Questions? Call 888-624-8373

PAPERBACK
list:$47.00
Web:$42.30
add to cart

PDF BOOK
your price: $36.00
add to cart

Rights & Permissions

topleft topright

Organ Procurement and Transplantation: Assessing Current Policies and the Potential Impact of the DHHS Final Rule (1999)
Institute of Medicine (IOM)

Page
157
bottomleft bottomright
  E-mail
 Facebook
 Digg
 Stumble
 Twitter
More

The following HTML text is provided to enhance online readability. Many aspects of typography translate only awkwardly to HTML. Please use the page image as the authoritative form to ensure accuracy.

Organ Procurement and Transplantation: Assessing Current Policies and the Potential Impact of the DHHS Final Rule

B
Guide to Summary Tables

The tables presented in this appendix relate to the discussion in Chapter 5. All tables provide summary data on liver transplantation only.* Because the medical status categories changed in 1998, all statistical analyses were performed on 1998-1999 data. To provide a more complete view of the overall system, tabular displays of summary data from 1995 to 1998 are included, using categories 1, 2 (2, 2A, and 2B), and 3 (3 and 4). Column headings for the tables in this appendix are defined below.

Definitions of Terms That Appear as Table Headings

Avg. Wait: The average number of days waited by patients until transplant, death, or removal from the list. Average waiting times for status 1 patients are listed in days. Waiting times for all other status patients are listed in months.

Max. Wait: The maximum number of days waited by any patient in a particular status level until transplant, death, or removal from the list.

% TX: The number of patients transplanted in a particular status level, divided by the number of patients ever in that status level, multiplied by 100.

% Died: The number of patients who died in a particular status level, divided by the number of patients ever in that status level, multiplied by 100.

*  

 Data for these analyses were provided by UNOS and are available in the Public Access File. Public access files are maintained by the National Research Council Library at 2001 Wisconsin Avenue N.W., Harris Building, Room HA 152, Washington, DC., 20007; tel: (202) 334-3543.
Page
157

Below are the first 10 and last 10 pages of uncorrected machine-read text (when available) of this chapter, followed by the top 30 algorithmically extracted key phrases from the chapter as a whole.
Intended to provide our own search engines and external engines with highly rich, chapter-representative searchable text on the opening pages of each chapter. Because it is UNCORRECTED material, please consider the following text as a useful but insufficient proxy for the authoritative book pages.

Do not use for reproduction, copying, pasting, or reading; exclusively for search engines.

OCR for page 157
Organ Procurement and Transplantation: Assessing Current Policies and the Potential Impact of the DHHS Final Rule B Guide to Summary Tables The tables presented in this appendix relate to the discussion in Chapter 5. All tables provide summary data on liver transplantation only.* Because the medical status categories changed in 1998, all statistical analyses were performed on 1998-1999 data. To provide a more complete view of the overall system, tabular displays of summary data from 1995 to 1998 are included, using categories 1, 2 (2, 2A, and 2B), and 3 (3 and 4). Column headings for the tables in this appendix are defined below. Definitions of Terms That Appear as Table Headings Avg. Wait: The average number of days waited by patients until transplant, death, or removal from the list. Average waiting times for status 1 patients are listed in days. Waiting times for all other status patients are listed in months. Max. Wait: The maximum number of days waited by any patient in a particular status level until transplant, death, or removal from the list. % TX: The number of patients transplanted in a particular status level, divided by the number of patients ever in that status level, multiplied by 100. % Died: The number of patients who died in a particular status level, divided by the number of patients ever in that status level, multiplied by 100. *    Data for these analyses were provided by UNOS and are available in the Public Access File. Public access files are maintained by the National Research Council Library at 2001 Wisconsin Avenue N.W., Harris Building, Room HA 152, Washington, DC., 20007; tel: (202) 334-3543.

OCR for page 158
Organ Procurement and Transplantation: Assessing Current Policies and the Potential Impact of the DHHS Final Rule % Other: The number of patients who neither died nor were transplanted in a particular status level, divided by the number of patients ever in that status level, multiplied by 100. % Died Post-TX: The number of patients who died following transplantation, divided by the number of patients ever transplanted in that status level, multiplied by 100 for a particular status level at the time of transplantation. % Male: The percentage of male patients in a particular status level. % B or AB: The percentage of patients with blood type B or AB out of all patients ever in that status level. % Black: The percentage of African American patients ever in that status level. Age: The average for patients in that status level. MMLE: Maximum marginal likelihood estimate—an estimate of an unknown parameter in a statistical model that produces the greatest probability of the model given the date. SE: Standard error—a measure of uncertainty in an estimated parameter of a statistical model. P: The probability associated with a test of the null hypothesis that the true parameter value is zero. N: The number of patients ever listed in that status category during the period analyzed. OPO: Organ procurement organization. The numbers in this column are coded. To conduct the analysis, the identities of 52 OPOs were encrypted (10 OPOs do not perform liver transplants). Therefore, the number assigned to each OPO does not match the number assigned to OPOs on the UNOS regional map found in Chapter 1 (Figure 1-1). Total No. of TX: The total number of transplants performed in an OPO regardless of status level. Total No. of Listings: The total number of patient listings in an OPO regardless of status. Overall Percentage: The total number of transplants divided by the total number of patient listings for a particular OPO regardless of listing or transplant status.

OCR for page 159
Organ Procurement and Transplantation: Assessing Current Policies and the Potential Impact of the DHHS Final Rule This page intentionally left blank.

OCR for page 160
Organ Procurement and Transplantation: Assessing Current Policies and the Potential Impact of the DHHS Final Rule TABLE B-1 Transplants, Mortality, Waiting Time, and Demographics by OPO Patients During Status 1, Sorted by OPO Volume, 1995-1999 OPOa N Avg. Wait Max. Wait % TX % Died % Otherb % Died Post-TX % Male % B or AB % Black Age 14 567 9 59 49 12 38 13 53 16 13 37 59 504 6 55 54 8 38 15 61 14 6 40 7 415 4 28 52 8 40 11 57 17 12 37 47 392 3 18 65 5 30 8 51 16 5 37 5 321 4 22 51 9 40 6 52 18 5 34 49 296 3 15 69 6 25 8 48 13 15 40 22 242 3 16 53 5 42 12 55 16 10 36 39 226 4 47 55 3 42 6 65 19 3 45 42 203 11 83 45 17 38 12 54 13 10 25 46 188 5 31 41 11 48 14 58 17 26 39 29 127 4 17 53 9 38 7 50 18 6 32 41 107 4 23 43 10 47 13 50 17 17 33 52 96 4 40 48 18 34 8 52 14 10 34 24 79 4 15 61 6 33 8 48 15 20 33 20 76 4 13 46 8 46 14 50 12 11 41 17 70 4 41 44 14 41 16 43 19 27 29 61 69 3 12 64 3 33 12 58 16 16 29 45 66 4 15 59 6 35 18 55 17 15 23 40 64 4 19 59 16 25 9 47 17 5 35 48 62 4 13 52 2 47 5 60 15 5 35 37 58 4 15 41 10 48 5 47 10 47 36 35 56 4 36 52 11 38 5 43 9 11 34 10 55 3 18 51 7 42 7 55 13 2 43 15 55 3 22 73 5 22 18 53 13 20 33 57 54 3 9 57 9 33 20 57 15 19 41 44 53 4 38 49 6 45 6 66 9 2 44 58 52 5 33 38 15 46 12 48 17 25 47

OCR for page 161
Organ Procurement and Transplantation: Assessing Current Policies and the Potential Impact of the DHHS Final Rule OPOa N Avg. Wait Max. Wait % TX % Died % Otherb % Died Post-TX % Male % B or AB % Black Age 11 51 4 15 49 8 43 8 45 25 24 18 4 47 3 9 47 9 45 17 60 9 9 43 50 46 4 17 54 7 39 17 61 13 11 35 67 46 5 22 43 13 43 15 46 17 4 33 38 43 5 22 40 28 33 14 49 7 16 35 27 41 5 49 51 2 46 2 32 15 24 27 36 41 5 20 54 10 37 10 49 2 0 34 64 39 5 21 44 18 38 15 62 13 0 36 23 37 4 14 27 27 46 5 43 19 32 32 34 33 3 14 48 9 42 21 55 18 33 27 18 31 3 6 55 16 29 23 52 3 23 38 60 31 3 10 35 6 58 0 42 10 29 39 28 29 4 16 69 14 17 24 66 10 0 33 32 28 4 10 46 7 46 25 54 36 11 47 33 28 2 9 46 4 50 14 50 11 0 38 63 27 3 13 52 4 44 22 67 22 0 45 26 26 7 22 38 12 50 4 46 0 4 27 53 25 4 17 48 12 40 16 60 20 12 35 65 23 2 8 61 4 35 9 78 9 0 46 31 21 3 9 19 24 57 5 48 10 0 29 6 15 3 16 87 0 13 20 53 7 7 43 12 15 3 10 20 20 60 0 87 7 0 50 13 9 2 5 33 33 33 11 67 33 0 36 3 6 3 5 50 17 33 0 33 17 67 36 30 3 4 10 33 0 67 0 67 33 0 33 a The numbers in this column are coded. The number assigned to each OPO does not match the number assigned to OPOs on the UNOS regional map found in Chapter 1 (Figure 1-1). b For example, shifting to another status level, being too sick to receive a transplant, being delisted, receiving a transplant at another OPO, or still waiting.

OCR for page 162
Organ Procurement and Transplantation: Assessing Current Policies and the Potential Impact of the DHHS Final Rule TABLE B-2 Transplants, Mortality, Waiting Time, and Demographics by OPO Patients During Status 1, Sorted by OPO Volume-Adults Only (18 and over), 1995-1999 OPOa N Avg. Wait Max. Wait % TX % Died % Otherb % Died Post-TX % Male % B or AB % Black Age 14 388 9 59 47 14 39 13 53 17 14 47 59 365 5 27 56 7 36 16 62 15 3 50 7 291 4 27 48 10 42 11 58 18 13 46 47 261 3 18 65 5 30 10 49 16 5 47 5 223 4 19 54 10 36 8 53 20 4 47 49 220 3 15 66 7 27 8 41 13 16 47 39 193 4 19 54 4 42 6 63 20 4 47 22 172 3 16 54 6 40 14 55 17 7 47 46 128 5 29 34 13 53 10 54 18 27 48 42 92 7 43 54 8 38 14 55 15 5 49 29 79 3 16 46 10 44 6 42 15 8 42 41 69 3 12 45 10 45 10 41 17 20 44 52 67 3 10 43 19 37 7 49 16 12 45 20 61 3 13 41 8 51 11 46 13 11 46 24 60 4 15 58 8 33 8 42 18 20 39 10 50 3 18 48 8 44 8 56 14 2 44 44 49 4 38 49 6 45 6 65 10 2 44 40 46 4 12 59 20 22 11 41 15 7 46 37 45 4 15 38 9 53 4 40 9 40 43 4 43 3 9 49 9 42 16 60 9 9 44 48 43 4 13 47 0 53 2 60 14 5 46 58 43 5 33 28 19 53 12 40 19 30 47 15 42 3 12 67 5 29 19 48 17 21 40 57 42 3 9 52 7 40 19 50 14 19 47 35 40 4 15 55 8 38 5 43 8 10 44 17 39 3 12 41 18 41 15 33 10 28 41 61 36 3 10 64 3 33 17 47 14 17 42

OCR for page 163
Organ Procurement and Transplantation: Assessing Current Policies and the Potential Impact of the DHHS Final Rule OPOa N Avg. Wait Max. Wait % TX % Died % Otherb % Died Post-TX % Male % B or AB % Black Age 38 33 6 22 39 27 33 15 45 6 6 45 67 31 4 8 45 10 45 19 48 19 3 43 36 30 5 20 50 13 37 7 50 0 0 42 50 30 4 15 50 10 40 10 63 20 10 45 64 30 4 11 47 17 37 17 60 17 0 45 45 29 4 15 38 7 55 21 45 7 10 43 63 26 3 13 50 4 46 23 69 19 0 45 18 25 3 6 64 20 16 28 52 4 24 42 32 25 3 10 48 8 44 24 48 28 8 52 27 24 4 12 58 4 38 4 33 13 25 40 23 23 4 9 22 35 43 9 39 22 26 43 33 22 2 9 45 5 50 14 45 14 0 44 60 22 3 10 36 9 55 0 41 5 27 47 28 21 3 9 71 14 14 29 67 14 0 43 11 19 3 9 32 11 58 0 26 21 42 38 26 17 7 17 35 18 47 6 35 0 0 38 34 17 3 8 47 18 35 18 35 24 24 43 53 17 4 17 41 12 47 12 53 18 0 47 31 14 3 7 29 14 57 7 43 14 0 40 6 12 4 16 83 0 17 17 42 8 8 43 65 12 2 8 25 8 67 8 67 8 0 49 12 11 3 10 9 27 64 0 82 9 0 50 13 6 2 5 17 50 33 0 83 50 0 51 3 5 3 5 40 20 40 0 40 20 60 40 30 2 5 10 50 0 50 0 50 50 0 50 a The numbers in this column are coded. The number assigned to each OPO does not match the number assigned to OPOs on the UNOS regional map found in Chapter 1 (Figure 1-1). b For example, shifting to another status level, being too sick to receive a transplant, being delisted, receiving a transplant at another OPO, or still waiting.

OCR for page 164
Organ Procurement and Transplantation: Assessing Current Policies and the Potential Impact of the DHHS Final Rule TABLE B-3 Mixed-Effects Competing Risk Survival Model for Patient Time in Status 1: Maximum Marginal Likelihood Estimates (MMLE), 1998-1999   MMLE SE p Transplant vs. Other Intercept -1.829 0.276 0.001 Day 0.016 0.015 0.299 Age 0-5 vs. adult -0.907 0.188 0.001 Age 6-17 vs. adult -0.362 0.234 0.123 Gender (1 = male) -0.098 0.198 0.621 Race (1 = black) -0.275 0.268 0.306 Blood type (1 = B or O) -0.076 0.196 0.697 OPO volume (M vs. L) -0.054 0.319 0.866 OPO volume (S vs. L) 0.261 0.336 0.437 Random OPO effect SD 0.393 0.144 0.003 Mortality vs. Other Intercept -3.685 0.482 0.001 Day 0.023 0.047 0.625 Age 0-5 vs. adult -0.968 0.378 0.010 Age 6-17 vs. adult -1.001 0.551 0.069 Gender (1 = male) 0.077 0.371 0.835 Race (1 = black) 0.162 0.448 0.717 Blood Type (1 = B or O) 0.003 0.433 0.995 OPO volume (M vs. L) 0.203 0.491 0.679 OPO volume (S vs. L) -0.230 0.930 0.805 Random OPO effect SD 0.042 0.298 0.444 NOTE: L =>300 transplants; M = 150-300 transplants; S =<150 transplants; and SD = standard deviation.

OCR for page 165
Organ Procurement and Transplantation: Assessing Current Policies and the Potential Impact of the DHHS Final Rule This page intentionally left blank.

OCR for page 166
Organ Procurement and Transplantation: Assessing Current Policies and the Potential Impact of the DHHS Final Rule TABLE B-4 Transplants, Mortality, Waiting Time, and Demographics by OPO Patients During Status 2, Sorted by OPO Volume, 1995-1999 OPOa N Avg. Wait Max. Wait % TX % Died % Otherb % Died Post-TX % Male % B or AB % Black Age 49 1,113 62 429 54 3 43 2 61 17 11 50 7 957 79 1,363 42 8 49 4 59 15 12 43 14 913 56 446 37 9 54 5 59 19 11 43 5 863 62 1,426 49 4 47 3 62 15 4 44 59 748 41 720 44 9 47 6 62 16 4 43 47 726 43 1,363 51 5 44 4 55 17 4 46 29 725 110 729 40 10 50 3 64 15 3 46 22 545 30 328 58 6 36 6 57 14 9 43 39 478 62 431 44 5 51 2 63 18 3 49 52 404 41 209 65 4 31 4 56 10 6 46 41 387 70 417 43 4 53 5 64 15 13 45 46 374 67 455 33 9 57 3 59 19 20 47 20 341 48 406 56 4 39 8 61 10 11 44 42 335 46 414 38 3 59 9 50 13 8 34 61 311 55 841 74 4 23 7 61 13 6 46 40 306 43 328 69 5 26 7 55 20 1 44 27 303 78 420 58 4 38 5 57 16 17 44 24 285 40 295 65 7 29 6 58 15 12 44 15 279 40 307 62 6 32 8 62 19 10 50 48 216 79 391 53 2 45 5 66 18 1 45 58 215 65 386 40 6 55 5 62 14 18 50 67 209 73 412 50 11 38 10 61 10 1 44 37 201 53 1,362 53 3 44 6 61 14 19 46 11 195 59 304 43 9 48 3 52 18 12 39 44 184 50 312 51 10 39 2 61 16 2 50 50 173 35 1,430 66 9 25 10 53 11 10 47 17 164 29 175 59 4 38 7 59 12 19 41

OCR for page 167
Organ Procurement and Transplantation: Assessing Current Policies and the Potential Impact of the DHHS Final Rule OPOa N Avg. Wait Max. Wait % TX % Died % Otherb % Died Post-TX % Male % B or AB % Black Age 45 161 53 421 60 7 34 9 58 14 7 38 10 155 72 426 45 5 51 3 59 17 8 46 38 151 48 356 55 5 40 8 54 13 7 44 23 136 42 238 55 4 40 9 60 13 18 45 6 132 73 324 62 11 27 7 73 13 6 48 63 132 45 315 61 8 31 5 72 14 2 48 4 129 35 214 54 6 40 9 64 14 6 46 57 125 60 394 58 6 37 6 69 15 14 48 60 121 36 210 64 8 27 6 67 21 11 48 32 111 37 180 50 5 45 7 63 15 5 48 35 102 69 400 53 4 43 6 56 10 11 41 18 100 46 340 54 6 40 9 63 12 8 50 65 97 64 324 45 6 48 0 61 18 3 48 64 90 10 63 53 13 33 4 59 17 0 42 3 82 64 296 66 6 28 0 65 15 12 49 36 80 35 300 38 11 51 3 55 8 3 40 34 77 40 206 60 10 30 12 55 18 16 40 28 65 13 58 63 2 35 14 62 15 5 40 33 63 15 105 46 0 54 5 57 16 0 46 26 62 26 157 32 10 58 8 50 6 5 36 53 43 16 102 47 0 53 9 60 14 12 38 12 39 50 212 54 5 41 3 77 10 0 50 31 29 31 135 31 17 52 7 62 21 0 41 13 21 35 206 38 14 48 10 62 29 0 47 30 11 82 254 36 0 64 0 55 18 0 44 a The numbers in this column are coded. The number assigned to each OPO does not match the number assigned to OPOs on the UNOS regional map found in Chapter 1 (Figure 1-1). b For example, shifting to another status level, being too sick to receive a transplant, being delisted, receiving a transplant at another OPO, or still waiting.

OCR for page 172
Organ Procurement and Transplantation: Assessing Current Policies and the Potential Impact of the DHHS Final Rule TABLE B-7 Mixed-Effects Competing Risk Survival Model for Patient Time in Status 3: Maximum Marginal Likelihood Estimates (MMLE), 1998-1999   MMLE SE p Transplant vs. Other Intercept -3.593 0.210 0.001 Month -0.220 0.030 0.001 Age 0-5 vs. adult 1.156 0.154 0.001 Age 6-17 vs. adult 0.844 0.268 0.002 Gender (1 = male) 0.054 0.186 0.769 Race (1 = black) 0.158 0.304 0.603 Blood type (1 = B or O) -0.477 0.098 0.001 OPO volume (M vs. L) 1.179 0.149 0.001 OPO volume (S vs. L) 0.757 0.228 0.001 Random OPO effect SD 1.335 0.162 0.001 Mortality vs. Other Intercept -3.654 0.172 0.001 Month -0.216 0.041 0.001 Age 0-5 vs. Adult -2.119 2.099 0.313 Age 6-17 vs. Adult -1.193 2.000 0.551 Gender (1 = male) -0.063 0.268 0.814 Race (1 = black) 0.027 0.544 0.960 Blood type (1 = B or O) -0.017 0.231 0.943 OPO volume (M vs. L) -0.526 0.300 0.079 OPO volume (S vs. L) -0.658 0.358 0.066 Random OPO effect SD 0.137 0.157 0.191 NOTE: L = >300 transplants; M = 150-300 transplants; S = <150 transplants; and SD = standard deviation.

OCR for page 173
Organ Procurement and Transplantation: Assessing Current Policies and the Potential Impact of the DHHS Final Rule TABLE B-8 Status of Transplanted Patients by OPO, Percentages (1995-1999)     Status OPOa N 1 2 3 4 7 9 49 969 20 59 15 0 0 6 47 943 24 37 29 1 0 9 14 809 32 38 22 0 0 8 22 786 15 37 40 0 0 7 59 769 34 40 20 0 0 6 7 747 26 49 16 0 0 10 3 735 21 54 16 1 0 8 52 532 8 47 40 0 1 4 40 485 8 42 48 0 0 2 39 444 26 45 22 1 0 6 61 444 9 49 34 0 0 8 29 421 15 68 10 0 2 5 20 375 9 49 37 0 0 5 27 370 6 44 43 0 3 4 41 353 12 44 37 0 2 5 42 342 26 35 33 0 3 4 24 327 14 53 27 0 0 7 15 311 12 53 32 0 0 3 17 306 9 27 55 0 1 8 50 299 8 37 49 1 0 6 64 281 6 17 68 6 2 1 48 258 12 44 42 0 0 2 11 247 10 31 55 0 0 4 67 240 8 40 46 0 0 6 63 233 5 33 57 0 0 5 46 226 31 51 9 0 0 8 57 213 14 31 48 0 0 8 37 211 11 49 37 0 0 2 60 200 4 32 53 0 0 12 35 194 15 26 51 1 3 6 4 193 11 33 50 1 0 5 45 191 19 43 28 0 0 9 58 184 10 42 36 1 0 11 38 181 9 45 37 0 4 4 36 162 13 15 65 0 0 7 6 160 8 47 34 4 0 6 10 157 17 38 36 1 0 9 44 152 16 59 20 0 0 5 33 148 9 20 68 0 0 4 23 143 7 48 38 0 0 8 34 143 10 31 55 0 0 3 28 140 14 28 55 0 0 4 32 139 9 40 47 2 2 1 53 125 9 16 69 2 3 2 18 121 14 44 40 0 0 2 26 87 10 23 63 2 0 1 65 80 18 46 26 0 0 10 3 76 4 68 25 0 0 3 12 69 4 29 64 0 0 3 31 53 8 17 70 0 0 6 13 37 8 16 68 0 0 8 30 21 5 14 76 0 0 5

OCR for page 174
Organ Procurement and Transplantation: Assessing Current Policies and the Potential Impact of the DHHS Final Rule TABLE B-9 Initial Listing Status by OPO, Percentages (1995-1999)     Status OPOa N 1 2 3 4 7 9 5 2,647 5 5 54 35 1 0 49 2,434 9 17 64 6 5 0 14 2,322 14 10 64 12 0 0 7 1,832 13 18 56 12 1 0 47 1,775 14 11 52 22 0 0 59 1,572 16 16 56 11 1 0 29 1,559 6 16 71 8 0 0 22 1,244 13 14 71 2 0 0 39 1,042 11 16 53 19 1 0 52 975 7 21 64 7 2 0 46 887 11 11 52 26 0 0 41 872 8 14 77 1 0 0 40 816 5 9 53 33 1 0 61 749 7 7 54 25 8 0 20 700 6 16 70 6 0 0 24 697 7 11 80 1 1 0 42 676 13 13 62 12 0 0 15 588 7 17 74 1 1 0 27 582 5 28 64 3 0 0 48 557 8 6 85 1 0 0 67 553 5 9 59 25 2 0 50 523 4 13 72 10 0 0 11 452 6 19 72 2 1 0 63 451 3 9 86 1 0 0 38 448 6 7 78 9 1 0 17 444 13 19 67 0 1 0 58 443 9 23 61 6 1 0 44 437 6 7 60 26 0 0 37 429 10 21 59 4 6 0 64 422 5 11 73 10 1 0 57 377 10 15 74 1 0 0 10 327 10 21 59 8 1 0 4 321 10 11 71 4 4 0 45 313 13 23 63 0 1 0 35 304 12 17 62 7 2 0 60 270 9 24 67 0 0 0 23 269 9 23 67 1 1 0 6 267 4 26 57 12 1 0 32 263 6 18 65 10 1 0 36 242 10 16 71 0 3 0 34 238 9 13 78 0 0 0 26 212 7 12 78 4 0 0 18 211 9 17 71 0 3 0 33 206 10 13 78 0 0 0 28 165 12 13 67 6 2 0 65 162 9 30 59 0 2 0 53 155 8 13 74 2 4 0 3 145 3 28 68 0 1 0 12 124 8 8 59 2 23 0 31 117 16 9 71 2 2 0 13 61 11 15 74 0 0 0 30 39 3 8 82 5 3 0

OCR for page 175
Organ Procurement and Transplantation: Assessing Current Policies and the Potential Impact of the DHHS Final Rule TABLE B-10 Mixed-Effects Competing Risk Survival Model for Patient Time in Status 1 as a Function of OPO Size: Maximum Marginal Likelihood Estimates (MMLE), 1998-1999   MMLE SE p Transplant vs. Other Intercept -2.071 0.561 0.001 Day -0.003 0.012 0.82 Size (linear) 0.018 0.243 0.943 Size (quadratic) -0.005 0.023 0.844 Random OPO effect SD 0.404 0.142 0.002 Mortality vs. Other Intercept -4.539 1.349 0.001 Day 0.008 0.027 0.777 Size (linear) 0.234 0.473 0.622 Size (quadratic) -0.019 0.039 0.627 Random OPO effect SD 0.052 0.183 0.388 TABLE B-11 Mixed-Effects Competing Risk Survival Model for Patient Time in Status 2B as a Function of OPO Size: Maximum Marginal Likelihood Estimates (MMLE), 1998-1999   MMLE SE p Transplant vs. Other Intercept -2.527 0.432 0.007 Month -0.105 0.01 0.001 Size (linear) 0.505 0.154 0.001 Size (quadratic) -0.063 0.013 0.001 Random OPO effect SD 0.596 0.05 0.001 Mortality vs. Other Intercept -3.886 0.361 0.001 Month -0.209 0.027 0.001 Size (linear) 0.328 0.127 0.009 Size (quadratic) -0.033 0.011 0.004 Random OPO effect SD 0.076 0.047 0.054

OCR for page 176
Organ Procurement and Transplantation: Assessing Current Policies and the Potential Impact of the DHHS Final Rule TABLE B-12 Mixed-Effects Competing Risk Survival Model for Patient Time in Status 3 as a Function of OPO Size: Maximum Marginal Likelihood Estimates (MMLE), 1998-1999   MMLE SE p Transplant vs. Other Intercept -4.837 0.604 0.001 Month -0.233 0.023 0.001 Size (linear) 0.841 0.243 0.001 Size (quadratic) -0.079 0.021 0.001 Random OPO effect SD 1.196 0.105 0.001 Mortality vs. Other Intercept -4.904 0.694 0.001 Month -0.213 0.029 0.001 Size (linear) 0.28 0.226 0.217 Size (quadratic) -0.018 0.017 0.313 Random OPO effect SD 0.067 0.15 0.327

OCR for page 177
Organ Procurement and Transplantation: Assessing Current Policies and the Potential Impact of the DHHS Final Rule This page intentionally left blank.

OCR for page 178
Organ Procurement and Transplantation: Assessing Current Policies and the Potential Impact of the DHHS Final Rule TABLE B-13 Ratios of Transplants to Listings by OPO Sorted by Number of Transplants; Ratios Expressed as a Percentage, 1995-1999         Percentages Within Status Level OPOa Total No. of Transplants Total No. of Listings Overall Percentage Status 1 Status 2 Status 3/4 Population Served (millions) 49 969 2,434 39 7 23 5 9 47 943 1,775 53 12 19 15 7 14 809 2,322 34 11 13 7 9 22 786 1,244 63 9 23 25 5 59 769 1,572 48 16 19 9 6 7 747 1,832 40 10 19 6 9 5 735 2,647 27 5 14 4 9 52 532 975 54 4 25 21 7 40 485 816 59 4 24 28 6 39 444 1,042 42 11 19 9 9 61 444 749 59 5 29 20 3 29 421 1,559 27 4 18 2 9 20 375 700 53 4 26 19 4 27 370 582 63 3 27 27 5 41 353 872 40 4 17 14 9 42 342 676 50 13 17 16 2 24 327 697 46 6 24 12 4 15 311 588 52 6 28 16 4 17 306 444 68 6 18 37 7 50 299 523 57 4 21 28 4 64 281 422 66 3 11 49 3 48 258 557 46 5 20 19 4 11 247 452 54 5 16 30 7 67 240 553 43 3 17 19 7

OCR for page 179
Organ Procurement and Transplantation: Assessing Current Policies and the Potential Impact of the DHHS Final Rule         Percentages Within Status Level OPOa Total No. of Transplants Total No. of Listings Overall Percentage Status 1 Status 2 Status 3/4 Population Served (millions) 63 233 451 51 2 17 29 4 46 226 887 25 7 12 2 3 57 213 377 56 7 17 27 3 37 211 429 49 5 24 18 4 60 200 270 74 2 23 39 6 35 194 304 63 9 16 33 3 4 193 321 60 6 19 30 4 45 191 313 61 11 26 17 2 58 184 443 41 4 17 15 4 38 181 448 40 3 18 14 5 36 162 242 66 8 10 43 3 6 160 267 59 4 28 22 4 10 157 327 48 8 18 17 2 44 152 437 34 5 20 6 3 33 148 206 71 6 14 48 3 23 143 269 53 3 25 20 2 34 143 238 60 6 18 33 3 28 140 165 84 11 23 46 5 32 139 263 52 4 21 25 2 53 125 155 80 7 12 57 2 18 121 211 57 8 25 22 3 26 87 212 41 4 9 26 4 65 80 162 49 8 22 12 3 3 76 145 52 2 35 13 2 12 69 124 55 2 16 35 2 31 53 117 45 3 7 31 2 13 37 61 60 4 9 41 2 30 21 39 53 2 7 40 2

OCR for page 180
Organ Procurement and Transplantation: Assessing Current Policies and the Potential Impact of the DHHS Final Rule TABLE B-14 Number of Transplants (overall and by status) and Number of Listings per Million People Served Sorted by Number of Transplants, 1995-1999         Total No. of: No. of Transplants per Million People Served OPOa Total No. of Transplants Total No. of Listings Pop. Served (millions) Transplants per Million Listings per Million Status 1 Transplants Status 2 Transplants Status 3/4 Transplants 49 969 2,434 9 107 270 21 63 16 47 943 1,775 7 134 253 32 49 40 14 809 2,322 9 89 258 28 34 19 22 786 1,244 5 157 248 23 58 62 59 769 1,572 6 128 262 43 51 25 7 747 1,832 9 83 203 21 40 13 5 735 2,647 9 81 294 17 44 13 52 532 975 7 76 139 6 35 30 40 485 816 6 80 136 6 33 38 39 444 1,042 9 49 115 12 22 11 61 444 749 3 148 249 13 72 50 29 421 1,559 9 46 173 7 31 4 20 375 700 4 93 175 8 45 34 27 370 582 5 74 116 4 32 31 41 353 872 9 39 96 4 17 14 42 342 676 2 171 338 44 59 56 24 327 697 4 81 174 11 43 22 15 311 588 4 77 147 9 41 24 17 306 444 7 43 63 3 11 24 50 299 523 4 74 130 5 27 37 64 281 422 3 93 140 5 15 69 48 258 557 4 64 139 7 28 27 11 247 452 7 35 64 3 10 19 67 240 553 7 34 79 2 13 15

OCR for page 181
Organ Procurement and Transplantation: Assessing Current Policies and the Potential Impact of the DHHS Final Rule           Total No. of: No. of Transplants per Million People Served OPOa Total No. of Transplants Total No. of Listings Pop. Served (millions) Transplants per Million Listings per Million Status 1 Transplants Status 2 Transplants Status 3/4 Transplants 63 233 451 4 58 112 2 19 33 46 226 887 3 75 295 23 38 6 57 213 377 3 71 125 9 22 34 37 211 429 4 52 107 5 25 19 60 200 270 6 33 45 1 10 17 35 194 304 3 64 101 9 16 33 4 193 321 4 48 80 5 15 24 45 191 313 2 95 156 18 41 26 58 184 443 4 46 110 4 19 17 38 181 448 5 36 89 3 16 13 36 162 242 3 54 80 7 8 35 6 160 267 4 40 66 3 18 15 10 157 327 2 78 163 13 29 29 44 152 437 3 50 145 8 29 10 33 148 206 3 49 68 4 9 33 23 143 269 2 71 134 5 34 27 34 143 238 3 47 79 4 14 26 28 140 165 5 28 33 3 7 15 32 139 263 2 69 131 6 27 34 53 125 155 2 62 77 5 10 44 18 121 211 3 40 70 5 17 16 26 87 212 4 21 53 2 5 14 65 80 162 3 26 54 4 12 6 3 76 145 2 38 72 1 25 9 12 69 124 2 34 62 1 10 22 31 53 117 2 26 58 2 4 18 13 37 61 2 18 30 1 2 12 30 21 39 2 10 19 0 1 7

OCR for page 182
Organ Procurement and Transplantation: Assessing Current Policies and the Potential Impact of the DHHS Final Rule This page in the original is blank.

Representative terms from entire chapter:

marginal likelihood