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Invited Commentary
May29, 2024
Daniela P.Ladner,MD, MPH1,2; Charles F.Manski,PhD3; SanjayMehrotra,PhD4
Author Affiliations Article Information
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1Division of Organ Transplantation, Department of Surgery, Northwestern Medicine, Chicago, Illinois
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2Northwestern University Transplant Outcomes Research Collaborative, Comprehensive Transplant Center, Northwestern University Feinberg School of Medicine, Chicago, Illinois
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3Department of Economics and Institute for Policy Research, Northwestern University, Evanston, Illinois
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4Department of Industrial Engineering and Management Sciences, McCormick School of Engineering, Northwestern University, Evanston, Illinois
JAMA Surg. Published online May 29, 2024. doi:10.1001/jamasurg.2024.1209
- Original Investigation Liver Transplant Costs and Activity After United Network for Organ Sharing Allocation Policy Changes
OlaAhmed,MD, PhD, MMEd; Maria Bernadette MajellaDoyle,MD, MBA; Marwan S.Abouljoud,MD; DianeAlonso,MD; RameshBatra,MBBS, MA; Kenneth L.Brayman,MD, PhD; DianeBrockmeier,RN, MHA; Robert M.Cannon,MD; KennethChavin,MD, PhD; Aaron M.Delman,MD; Derek A.DuBay,MD; JanFinn,RN, MSN; Jonathan A.Fridell,MD; Barry S.Friedman,RN, MBA; Danielle M.Fritze,MD; DerekGinos,MHA; David S.Goldberg,MD; Glenn A.Halff,MD; Seth J.Karp,MD; Vivek K.Kohli,MD; Sean C.Kumer,MD, PhD; AlanLangnas,DO; Jayme E.Locke,MD, MPH; DanielMaluf,MD; Raphael P. H.Meier,MD, PhD; AlejandroMejia,MD; ShaheedMerani,MD, PhD; David C.Mulligan,MD; BobbyNibuhanupudy,MD; Madhukar S.Patel,MD; Shawn J.Pelletier,MD; Shimul A.Shah,MD; Parsia A.Vagefi,MD; RodrigoVianna,MD, PhD; Gazi B.Zibari,MD; Teresa J.Shafer,RN, MSN, CPTC; Susan L.Orloff,MD
JAMA Surgery
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In February 2020, a new liver transplant (LT) allocation system was implemented using concentric circles of 500 nautical miles from the donor hospital for liver allocation to the recipient transplant center as its key change from the previous local-regional-national system.1,2 The changes to the LT allocation policy are intended to respond to the Final Rule that states organs and tissues must be distributed on the basis of objective priority criteria and not on the basis of accidents of geography.3 Ahmed et al4 show in their analyses of 22 centers that LT-related costs increased by 10.9% in the 12 months following the allocation policy change.
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Surgery Transplantation Hepatobiliary Surgery Hepatobiliary Disease Gastroenterology and Hepatology
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Ladner DP, Manski CF, Mehrotra S. New Liver Allocation Policy and National Liver Transplant Volume. JAMA Surg. Published online May 29, 2024. doi:10.1001/jamasurg.2024.1209
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