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« Previous: Appendix A: Data Sources and Methods
Suggested Citation:"Appendix B: Guide to Summary Tables." Institute of Medicine. 1999. Organ Procurement and Transplantation: Assessing Current Policies and the Potential Impact of the DHHS Final Rule. Washington, DC: The National Academies Press. doi: 10.17226/9628.
×

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.

Suggested Citation:"Appendix B: Guide to Summary Tables." Institute of Medicine. 1999. Organ Procurement and Transplantation: Assessing Current Policies and the Potential Impact of the DHHS Final Rule. Washington, DC: The National Academies Press. doi: 10.17226/9628.
×

% 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.

Suggested Citation:"Appendix B: Guide to Summary Tables." Institute of Medicine. 1999. Organ Procurement and Transplantation: Assessing Current Policies and the Potential Impact of the DHHS Final Rule. Washington, DC: The National Academies Press. doi: 10.17226/9628.
×

This page intentionally left blank.

Suggested Citation:"Appendix B: Guide to Summary Tables." Institute of Medicine. 1999. Organ Procurement and Transplantation: Assessing Current Policies and the Potential Impact of the DHHS Final Rule. Washington, DC: The National Academies Press. doi: 10.17226/9628.
×

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

Suggested Citation:"Appendix B: Guide to Summary Tables." Institute of Medicine. 1999. Organ Procurement and Transplantation: Assessing Current Policies and the Potential Impact of the DHHS Final Rule. Washington, DC: The National Academies Press. doi: 10.17226/9628.
×

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.

Suggested Citation:"Appendix B: Guide to Summary Tables." Institute of Medicine. 1999. Organ Procurement and Transplantation: Assessing Current Policies and the Potential Impact of the DHHS Final Rule. Washington, DC: The National Academies Press. doi: 10.17226/9628.
×

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

Suggested Citation:"Appendix B: Guide to Summary Tables." Institute of Medicine. 1999. Organ Procurement and Transplantation: Assessing Current Policies and the Potential Impact of the DHHS Final Rule. Washington, DC: The National Academies Press. doi: 10.17226/9628.
×

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.

Suggested Citation:"Appendix B: Guide to Summary Tables." Institute of Medicine. 1999. Organ Procurement and Transplantation: Assessing Current Policies and the Potential Impact of the DHHS Final Rule. Washington, DC: The National Academies Press. doi: 10.17226/9628.
×

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.

Suggested Citation:"Appendix B: Guide to Summary Tables." Institute of Medicine. 1999. Organ Procurement and Transplantation: Assessing Current Policies and the Potential Impact of the DHHS Final Rule. Washington, DC: The National Academies Press. doi: 10.17226/9628.
×

This page intentionally left blank.

Suggested Citation:"Appendix B: Guide to Summary Tables." Institute of Medicine. 1999. Organ Procurement and Transplantation: Assessing Current Policies and the Potential Impact of the DHHS Final Rule. Washington, DC: The National Academies Press. doi: 10.17226/9628.
×

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

Suggested Citation:"Appendix B: Guide to Summary Tables." Institute of Medicine. 1999. Organ Procurement and Transplantation: Assessing Current Policies and the Potential Impact of the DHHS Final Rule. Washington, DC: The National Academies Press. doi: 10.17226/9628.
×

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.

Suggested Citation:"Appendix B: Guide to Summary Tables." Institute of Medicine. 1999. Organ Procurement and Transplantation: Assessing Current Policies and the Potential Impact of the DHHS Final Rule. Washington, DC: The National Academies Press. doi: 10.17226/9628.
×

TABLE B-5 Mixed-Effects Competing Risk Survival Model for Patient Time in Status 2B: Maximum Marginal Likelihood Estimates (MMLE), 1998-1999

 

MMLE

SE

p

Transplant vs. Other

Intercept

-2.077

0.129

0.001

Month

-0.092

0.016

0.000

Age 0-5 vs. adult

0.470

0.103

0.001

Age 6-17 vs. adult

0.135

0.243

0.577

Gender (1 = male)

0.126

0.087

0.150

Race (1 = black)

0.134

0.222

0.546

Blood type (1 = B or O)

-0.577

0.062

0.001

OPO volume (M vs. L)

0.590

0.157

0.001

OPO volume (S vs. L)

0.560

0.187

0.003

Random OPO effect SD

0.689

0.064

0.001

Mortality vs. Other

Intercept

-3.313

0.227

0.001

Month

-0.213

0.039

0.001

Age 0-5 vs. adult

-0.195

0.381

0.608

Age 6-17 vs. adult

-0.516

0.641

0.421

Gender (1 = male)

0.014

0.191

0.944

Race (1 = black)

-0.082

0.359

0.820

Blood type (1 = B or O)

-0.005

0.164

0.974

OPO volume (M vs. L)

0.202

0.126

0.110

OPO volume (S vs. L)

0.355

0.151

0.019

Random OPO effect SD

0.116

0.049

0.009

NOTE: L = >300 transplants; M = 150-300 transplants; S = <150 transplants; and SD = standard deviation.

Suggested Citation:"Appendix B: Guide to Summary Tables." Institute of Medicine. 1999. Organ Procurement and Transplantation: Assessing Current Policies and the Potential Impact of the DHHS Final Rule. Washington, DC: The National Academies Press. doi: 10.17226/9628.
×

This page intentionally left blank.

Suggested Citation:"Appendix B: Guide to Summary Tables." Institute of Medicine. 1999. Organ Procurement and Transplantation: Assessing Current Policies and the Potential Impact of the DHHS Final Rule. Washington, DC: The National Academies Press. doi: 10.17226/9628.
×

TABLE B-6 Transplants, Mortality, Waiting Time, and Demographics by OPO Patients During Status 3 or 4, Sorted by OPO Volume, 1995-1999

OPOa

N

Avg. Wait

Max. Wait

% TX

% Died

% Otherb

% Died Post-TX

% Male

% B or AB

% Black

Age

5

2,437

464

1,539

6

8

86

0

59

16

3

46

14

1,923

392

1,533

10

7

83

1

56

19

10

45

49

1,790

305

1,510

9

4

87

0

60

19

9

49

47

1,361

204

1,506

23

4

73

1

57

16

3

48

7

1,334

318

1,452

10

4

86

1

59

17

10

45

29

1,269

386

1,440

4

9

87

0

61

16

2

46

59

1,152

352

1,512

15

6

79

1

63

17

4

44

22

983

140

1,011

34

5

60

4

58

14

6

46

39

798

262

1,363

13

4

82

0

61

19

3

50

46

728

442

1,525

3

6

91

1

55

18

18

46

52

714

229

1,484

31

7

63

3

54

13

6

48

40

711

180

955

33

3

64

2

56

18

2

47

41

702

303

1,015

19

4

77

2

60

18

14

46

61

636

152

847

26

5

69

2

59

12

7

47

24

582

302

1,148

16

5

79

1

57

14

12

44

20

558

231

1,105

26

4

70

3

60

12

8

46

42

537

233

1,000

21

7

72

4

53

13

5

38

48

489

318

1,213

22

2

75

1

59

16

4

47

67

474

232

923

24

6

69

4

61

12

3

47

15

455

275

1,126

22

5

73

2

60

18

9

48

50

448

244

1,064

35

6

58

3

55

14

8

46

27

408

151

813

39

4

57

3

56

13

18

44

63

398

322

1,045

34

5

60

4

70

11

2

49

38

393

302

1,125

18

4

79

2

55

13

5

46

44

384

354

1,504

8

7

85

0

60

16

2

49

64

360

198

1,471

58

2

39

3

62

13

2

45

Suggested Citation:"Appendix B: Guide to Summary Tables." Institute of Medicine. 1999. Organ Procurement and Transplantation: Assessing Current Policies and the Potential Impact of the DHHS Final Rule. Washington, DC: The National Academies Press. doi: 10.17226/9628.
×

OPOa

N

Avg. Wait

Max. Wait

% TX

% Died

% Otherb

% Died Post-TX

% Male

% B or AB

% Black

Age

11

358

161

600

39

7

54

3

53

19

8

41

58

317

224

1,014

24

3

73

2

62

19

14

49

17

312

127

546

56

1

43

7

54

13

13

45

37

298

202

1,230

26

5

68

2

60

15

16

47

57

290

270

1,490

38

3

59

2

61

14

10

47

4

258

154

752

39

4

57

7

64

11

4

48

10

231

284

1,344

26

6

68

1

58

14

9

47

35

219

164

892

46

1

53

2

49

10

5

45

45

208

272

1,511

27

1

72

2

58

11

12

36

32

206

255

1,335

33

5

62

3

62

14

5

48

60

197

129

1,021

56

1

43

7

59

18

7

50

23

194

172

629

28

5

66

4

60

16

11

47

34

191

156

1,431

42

7

51

9

61

14

12

45

6

190

145

623

34

6

59

3

69

13

5

50

36

187

194

999

59

3

39

3

54

13

1

43

26

177

283

1,293

32

4

64

3

50

11

2

44

33

165

124

502

64

1

36

10

61

16

1

49

18

159

239

934

31

1

68

4

64

13

4

49

53

127

91

449

70

2

28

7

64

13

6

46

28

126

97

519

63

2

36

5

57

15

7

43

65

103

149

701

20

3

77

1

56

17

3

48

3

101

263

953

19

0

81

1

63

11

4

48

12

96

96

468

47

2

51

0

69

15

0

51

31

89

216

769

45

6

49

3

49

9

0

44

13

48

133

818

54

2

44

8

65

21

2

50

30

36

261

1,109

44

8

47

0

50

22

0

52

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.

Suggested Citation:"Appendix B: Guide to Summary Tables." Institute of Medicine. 1999. Organ Procurement and Transplantation: Assessing Current Policies and the Potential Impact of the DHHS Final Rule. Washington, DC: The National Academies Press. doi: 10.17226/9628.
×

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.

Suggested Citation:"Appendix B: Guide to Summary Tables." Institute of Medicine. 1999. Organ Procurement and Transplantation: Assessing Current Policies and the Potential Impact of the DHHS Final Rule. Washington, DC: The National Academies Press. doi: 10.17226/9628.
×

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

Suggested Citation:"Appendix B: Guide to Summary Tables." Institute of Medicine. 1999. Organ Procurement and Transplantation: Assessing Current Policies and the Potential Impact of the DHHS Final Rule. Washington, DC: The National Academies Press. doi: 10.17226/9628.
×

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

Suggested Citation:"Appendix B: Guide to Summary Tables." Institute of Medicine. 1999. Organ Procurement and Transplantation: Assessing Current Policies and the Potential Impact of the DHHS Final Rule. Washington, DC: The National Academies Press. doi: 10.17226/9628.
×

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

Suggested Citation:"Appendix B: Guide to Summary Tables." Institute of Medicine. 1999. Organ Procurement and Transplantation: Assessing Current Policies and the Potential Impact of the DHHS Final Rule. Washington, DC: The National Academies Press. doi: 10.17226/9628.
×

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

Suggested Citation:"Appendix B: Guide to Summary Tables." Institute of Medicine. 1999. Organ Procurement and Transplantation: Assessing Current Policies and the Potential Impact of the DHHS Final Rule. Washington, DC: The National Academies Press. doi: 10.17226/9628.
×

This page intentionally left blank.

Suggested Citation:"Appendix B: Guide to Summary Tables." Institute of Medicine. 1999. Organ Procurement and Transplantation: Assessing Current Policies and the Potential Impact of the DHHS Final Rule. Washington, DC: The National Academies Press. doi: 10.17226/9628.
×

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

Suggested Citation:"Appendix B: Guide to Summary Tables." Institute of Medicine. 1999. Organ Procurement and Transplantation: Assessing Current Policies and the Potential Impact of the DHHS Final Rule. Washington, DC: The National Academies Press. doi: 10.17226/9628.
×

 

 

 

 

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

Suggested Citation:"Appendix B: Guide to Summary Tables." Institute of Medicine. 1999. Organ Procurement and Transplantation: Assessing Current Policies and the Potential Impact of the DHHS Final Rule. Washington, DC: The National Academies Press. doi: 10.17226/9628.
×

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

Suggested Citation:"Appendix B: Guide to Summary Tables." Institute of Medicine. 1999. Organ Procurement and Transplantation: Assessing Current Policies and the Potential Impact of the DHHS Final Rule. Washington, DC: The National Academies Press. doi: 10.17226/9628.
×

 

 

 

 

 

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

Suggested Citation:"Appendix B: Guide to Summary Tables." Institute of Medicine. 1999. Organ Procurement and Transplantation: Assessing Current Policies and the Potential Impact of the DHHS Final Rule. Washington, DC: The National Academies Press. doi: 10.17226/9628.
×
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Suggested Citation:"Appendix B: Guide to Summary Tables." Institute of Medicine. 1999. Organ Procurement and Transplantation: Assessing Current Policies and the Potential Impact of the DHHS Final Rule. Washington, DC: The National Academies Press. doi: 10.17226/9628.
×
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Suggested Citation:"Appendix B: Guide to Summary Tables." Institute of Medicine. 1999. Organ Procurement and Transplantation: Assessing Current Policies and the Potential Impact of the DHHS Final Rule. Washington, DC: The National Academies Press. doi: 10.17226/9628.
×
Page 158
Suggested Citation:"Appendix B: Guide to Summary Tables." Institute of Medicine. 1999. Organ Procurement and Transplantation: Assessing Current Policies and the Potential Impact of the DHHS Final Rule. Washington, DC: The National Academies Press. doi: 10.17226/9628.
×
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Suggested Citation:"Appendix B: Guide to Summary Tables." Institute of Medicine. 1999. Organ Procurement and Transplantation: Assessing Current Policies and the Potential Impact of the DHHS Final Rule. Washington, DC: The National Academies Press. doi: 10.17226/9628.
×
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Suggested Citation:"Appendix B: Guide to Summary Tables." Institute of Medicine. 1999. Organ Procurement and Transplantation: Assessing Current Policies and the Potential Impact of the DHHS Final Rule. Washington, DC: The National Academies Press. doi: 10.17226/9628.
×
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Suggested Citation:"Appendix B: Guide to Summary Tables." Institute of Medicine. 1999. Organ Procurement and Transplantation: Assessing Current Policies and the Potential Impact of the DHHS Final Rule. Washington, DC: The National Academies Press. doi: 10.17226/9628.
×
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Suggested Citation:"Appendix B: Guide to Summary Tables." Institute of Medicine. 1999. Organ Procurement and Transplantation: Assessing Current Policies and the Potential Impact of the DHHS Final Rule. Washington, DC: The National Academies Press. doi: 10.17226/9628.
×
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Suggested Citation:"Appendix B: Guide to Summary Tables." Institute of Medicine. 1999. Organ Procurement and Transplantation: Assessing Current Policies and the Potential Impact of the DHHS Final Rule. Washington, DC: The National Academies Press. doi: 10.17226/9628.
×
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Suggested Citation:"Appendix B: Guide to Summary Tables." Institute of Medicine. 1999. Organ Procurement and Transplantation: Assessing Current Policies and the Potential Impact of the DHHS Final Rule. Washington, DC: The National Academies Press. doi: 10.17226/9628.
×
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Suggested Citation:"Appendix B: Guide to Summary Tables." Institute of Medicine. 1999. Organ Procurement and Transplantation: Assessing Current Policies and the Potential Impact of the DHHS Final Rule. Washington, DC: The National Academies Press. doi: 10.17226/9628.
×
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Suggested Citation:"Appendix B: Guide to Summary Tables." Institute of Medicine. 1999. Organ Procurement and Transplantation: Assessing Current Policies and the Potential Impact of the DHHS Final Rule. Washington, DC: The National Academies Press. doi: 10.17226/9628.
×
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Suggested Citation:"Appendix B: Guide to Summary Tables." Institute of Medicine. 1999. Organ Procurement and Transplantation: Assessing Current Policies and the Potential Impact of the DHHS Final Rule. Washington, DC: The National Academies Press. doi: 10.17226/9628.
×
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Suggested Citation:"Appendix B: Guide to Summary Tables." Institute of Medicine. 1999. Organ Procurement and Transplantation: Assessing Current Policies and the Potential Impact of the DHHS Final Rule. Washington, DC: The National Academies Press. doi: 10.17226/9628.
×
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Suggested Citation:"Appendix B: Guide to Summary Tables." Institute of Medicine. 1999. Organ Procurement and Transplantation: Assessing Current Policies and the Potential Impact of the DHHS Final Rule. Washington, DC: The National Academies Press. doi: 10.17226/9628.
×
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Suggested Citation:"Appendix B: Guide to Summary Tables." Institute of Medicine. 1999. Organ Procurement and Transplantation: Assessing Current Policies and the Potential Impact of the DHHS Final Rule. Washington, DC: The National Academies Press. doi: 10.17226/9628.
×
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Suggested Citation:"Appendix B: Guide to Summary Tables." Institute of Medicine. 1999. Organ Procurement and Transplantation: Assessing Current Policies and the Potential Impact of the DHHS Final Rule. Washington, DC: The National Academies Press. doi: 10.17226/9628.
×
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Suggested Citation:"Appendix B: Guide to Summary Tables." Institute of Medicine. 1999. Organ Procurement and Transplantation: Assessing Current Policies and the Potential Impact of the DHHS Final Rule. Washington, DC: The National Academies Press. doi: 10.17226/9628.
×
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Suggested Citation:"Appendix B: Guide to Summary Tables." Institute of Medicine. 1999. Organ Procurement and Transplantation: Assessing Current Policies and the Potential Impact of the DHHS Final Rule. Washington, DC: The National Academies Press. doi: 10.17226/9628.
×
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Suggested Citation:"Appendix B: Guide to Summary Tables." Institute of Medicine. 1999. Organ Procurement and Transplantation: Assessing Current Policies and the Potential Impact of the DHHS Final Rule. Washington, DC: The National Academies Press. doi: 10.17226/9628.
×
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Suggested Citation:"Appendix B: Guide to Summary Tables." Institute of Medicine. 1999. Organ Procurement and Transplantation: Assessing Current Policies and the Potential Impact of the DHHS Final Rule. Washington, DC: The National Academies Press. doi: 10.17226/9628.
×
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Suggested Citation:"Appendix B: Guide to Summary Tables." Institute of Medicine. 1999. Organ Procurement and Transplantation: Assessing Current Policies and the Potential Impact of the DHHS Final Rule. Washington, DC: The National Academies Press. doi: 10.17226/9628.
×
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Suggested Citation:"Appendix B: Guide to Summary Tables." Institute of Medicine. 1999. Organ Procurement and Transplantation: Assessing Current Policies and the Potential Impact of the DHHS Final Rule. Washington, DC: The National Academies Press. doi: 10.17226/9628.
×
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Suggested Citation:"Appendix B: Guide to Summary Tables." Institute of Medicine. 1999. Organ Procurement and Transplantation: Assessing Current Policies and the Potential Impact of the DHHS Final Rule. Washington, DC: The National Academies Press. doi: 10.17226/9628.
×
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Suggested Citation:"Appendix B: Guide to Summary Tables." Institute of Medicine. 1999. Organ Procurement and Transplantation: Assessing Current Policies and the Potential Impact of the DHHS Final Rule. Washington, DC: The National Academies Press. doi: 10.17226/9628.
×
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Suggested Citation:"Appendix B: Guide to Summary Tables." Institute of Medicine. 1999. Organ Procurement and Transplantation: Assessing Current Policies and the Potential Impact of the DHHS Final Rule. Washington, DC: The National Academies Press. doi: 10.17226/9628.
×
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Suggested Citation:"Appendix B: Guide to Summary Tables." Institute of Medicine. 1999. Organ Procurement and Transplantation: Assessing Current Policies and the Potential Impact of the DHHS Final Rule. Washington, DC: The National Academies Press. doi: 10.17226/9628.
×
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Each day, nearly 60 Americans receive a transplanted kidney, liver, or other organ-a literal "second chance at life"-but 11 others die waiting for an organ transplant. The number of donors, although rising, is not growing fast enough to meet the increasing demand. Intended to improve the current system of organ procurement and allocation, the "Final Rule," a 1998 regulation issued by the U.S. Department of Health and Human Services, sparked further controversy with its attempts to eliminate the apparent geographic disparities in the time an individual must wait for an organ.

This book assesses the potential impact of the Final Rule on organ transplantation. It also presents new, original analyses of data, and assesses medical practices, social and economic observations, and other information on: access to transplantation services for low-income populations and racial and ethnic minority groups; organ donation rates; waiting times for transplantation; patient survival rates and organ failure rates leading to retransplantation; and cost of organ transplantation services.

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