Payani, Elnaz and Boerner, Nikolaus and Kolliogiannis, Dionysios and Brunner, Stefan and Klein, Ingo and Ehmer, Ursula and Denk, Gerald and Lange, Christian M. and Ograja, Klaudja and Dietrich, Peter and Werner, Jens and Guba, Markus (2023) Regional transplant rates depend more on physician-dependent variables than on proximity to transplant center. LANGENBECKS ARCHIVES OF SURGERY, 408 (1): 191. ISSN 1435-2443, 1435-2451
Full text not available from this repository. (Request a copy)Abstract
PurposeThe objective of this work was to uncover inequalities in access to liver transplantation in Bavaria, Germany.MethodsFor this purpose, the annual transplantation rate per 1 million inhabitants for the respective districts was determined from the aggregated postal codes of the place of residence of transplanted patients. The variables examined were proximity and travel time to the nearest transplant center, as well as the care category of the regional hospital. In addition, we assessed whether the head of gastroenterology at the regional hospital through which liver transplant candidates are referred was trained at a liver transplant center.ResultsWe could not demonstrate a direct relationship between proximity or travel time to the nearest transplant center and access to liver transplantation. Multivariate regression analysis shows that liver transplant training (p < 0.0001) of the chief physician (gastroenterologist) of the regional hospital was the most decisive independent factor for access to liver transplantation within a district.ConclusionWe show that the transplant training experience of the head of gastroenterology at a regional hospital is an independent factor for the regional transplantation rate. Therefore, it appears important to maintain some liver transplant expertise outside the transplant centers in order to properly identify and assign potential transplant candidates for transplantation.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | LIVER-TRANSPLANTATION; DISTANCE; ACCESS; ASSOCIATION; Disparities in liver transplantation; Proximity to liver transplant center; Liver transplantation; Socioeconomic factors |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Chirurgie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 23 Mar 2024 12:20 |
| Last Modified: | 23 Mar 2024 12:20 |
| URI: | https://pred.uni-regensburg.de/id/eprint/60451 |
Actions (login required)
 |
View Item |
