An Analysis of Free‐Text Refusals as an Indicator of Readiness to Accept Organ Offers in Liver Transplantation
| Autor: | Jin Ge, Jennifer C. Lai, Garrett R. Roll, Elaine Ku |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Waiting time
Tissue and Organ Procurement Waiting Lists medicine.medical_treatment Psychological intervention Ethnic group Liver transplantation Severity of Illness Index Odds End Stage Liver Disease Clinical Research Text messaging Humans Medicine Transplantation Hepatology business.industry Liver Disease Organ Transplantation Odds ratio Confidence interval Liver Transplantation Digestive Diseases business Demography |
| Zdroj: | Hepatology communications, vol 6, iss 5 |
| ISSN: | 2471-254X |
| Popis: | Racial/ethnic minorities experience higher rates of wait-list mortality and longer waiting times on the liver transplant wait list. We hypothesized that racial/ethnic minorities may encounter greater logistical barriers to maintaining "readiness" on the wait list, as reflected in offer nonacceptance. We identified all candidates who received an organ offer between 2009 and 2018 and investigated candidates who did not accept an organ offer using a free-text refusal reason associated with refusal code 801. We isolated patients who did not accept an organ offer due to "candidate-related logistical reasons" and evaluated their characteristics. We isolated 94,006 "no 801" patients and 677 "with 801 logistical" patients. Common reasons for offer decline among the 677 were 60% "unable to travel/distance," 22% "cannot be contacted," 13% "not ready/unspecified," and 5% "financial/insurance." Compared to "no 801," "with 801 logistical" patients were more likely to be Hispanic (19% vs. 15%, P |
| Databáze: | OpenAIRE |
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