Do funding sources influence long‐term patient survival in pediatric liver transplantation?
| Autor: | James D. Perkins, Jorge D. Reyes, André A. S. Dick, Elizabeth Winstanley, Niviann M. Blondet, Michael O'Hara, Patrick J. Healey |
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| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Adolescent medicine.medical_treatment 030232 urology & nephrology 030230 surgery Liver transplantation 03 medical and health sciences 0302 clinical medicine Internal medicine Outcome Assessment Health Care Allograft survival medicine Humans Healthcare Disparities Child Socioeconomic status Proportional Hazards Models Retrospective Studies Transplantation Insurance Health Medicaid business.industry Proportional hazards model Graft Survival Infant Newborn Infant Patient survival Health Status Disparities United States Confidence interval Liver Transplantation Social Class Child Preschool Pediatrics Perinatology and Child Health Female business |
| Zdroj: | Pediatric Transplantation. 25 |
| ISSN: | 1399-3046 1397-3142 |
| DOI: | 10.1111/petr.13887 |
| Popis: | BACKGROUND Socioeconomic status has been associated with inferior outcomes after multiple surgical procedures, but has not been well studied with respect to pediatric liver transplantation. This study evaluated the impact of insurance status (as a proxy for socioeconomic status) on patient and allograft survival in pediatric first-time liver transplant recipients. METHODS Our retrospective analysis of the UNOS data base from January 2002 through September 2017 revealed 6997 pediatric patients undergoing first-time isolated liver transplantation. A mixed Cox proportional hazards model adjusted for donor, recipient, and program characteristics determined the RR of insurance status on allograft and patient survival. All results were considered significant at P |
| Databáze: | OpenAIRE |
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