National Healthcare Quality and Disparities Report
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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
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1 to 3 of 3 Research Studies DisplayedLuo X, Mogul DB, Massie AB
Predicting chance of liver transplantation for pediatric wait-list candidates.
The authors sought to predict the chance of receiving a deceased donor liver transplant (DDLT) for pediatric patients. Their model accurately predicted chance of transplant and was able to predict DDLT at specific follow-up times. They conclude that their model can serve as the basis for an online tool that would provide useful information for pediatric wait-list candidates.
AHRQ-funded; HS023876.
Citation: Luo X, Mogul DB, Massie AB .
Predicting chance of liver transplantation for pediatric wait-list candidates.
Pediatr Transplant 2019 Nov;23(7):e13542. doi: 10.1111/petr.13542..
Keywords: Children/Adolescents, Transplantation, Healthcare Delivery, Access to Care
Mogul DB, Lee J, Purnell TS
Barriers to access in pediatric living-donor liver transplantation.
This study examined knowledge and attitudes about living donor liver transplantation (LDLT) among patients/caregivers for children awaiting or having received a liver transplant. LDLT is only used for 10% of transplant recipients, but has a much better outcome. A survey was conducted among 217 respondents. While 97% of respondents knew an individual could donate a portion of their kidney, only 72% knew evaluation steps, and 69% knew the donor surgery was covered by the recipient’s insurance. Individuals receiving public insurance and without a college degree were less likely to know someone who had been a living donor. This gap in knowledge can create barriers to increasing LDLT for children.
AHRQ-funded; HS023876; HS024600.
Citation: Mogul DB, Lee J, Purnell TS .
Barriers to access in pediatric living-donor liver transplantation.
Pediatr Transplant 2019 Sep;23(6):e13513. doi: 10.1111/petr.13513..
Keywords: Children/Adolescents, Access to Care, Transplantation
Chang SH, Wang M, Liu X
Racial/ethnic disparities in access and outcomes of simultaneous liver-kidney transplant among liver transplant candidates with renal dysfunction in the United States.
Since the Model for End-stage Liver Disease (MELD) allocation system was implemented, the proportion of simultaneous liver-kidney transplantation (SLKT) has increased significantly. The investigators study whether racial/ethnic disparities exist in access to SLKT and post-SLKT survival. The investigators concluded that in the MELD era, racial/ethnic differences exist in access and survival of SLKT for patients with renal dysfunction at listing for LT.
AHRQ-funded; HS022330.
Citation: Chang SH, Wang M, Liu X .
Racial/ethnic disparities in access and outcomes of simultaneous liver-kidney transplant among liver transplant candidates with renal dysfunction in the United States.
Transplantation 2019 Aug;103(8):1663-74. doi: 10.1097/tp.0000000000002574..
Keywords: Access to Care, Disparities, Kidney Disease and Health, Outcomes, Policy, Transplantation