HealthDay operates under the strictest editorial standards. Our syndicated news content is completely independent of any financial interests, is based solely on industry-respected sources and the latest scientific research, and is carefully fact-checked by a team of industry experts to ensure accuracy.
- All articles are edited and checked for factual accuracy by our Editorial Team prior to being published.
- Unless otherwise noted, all articles focusing on new research are based on studies published in peer-reviewed journals or issued from independent and respected medical associations, academic groups and governmental organizations.
- Each article includes a link or reference to the original source.
- Any known potential conflicts of interest associated with a study or source are made clear to the reader.
Please see our Editorial and Fact-Checking Policy for more detail.Editorial and Fact-Checking Policy
HealthDay Editorial Commitment
HeathDay is committed to maintaining the highest possible levels of impartial editorial standards in the content that we present on our website. All of our articles are chosen independent of any financial interests. Editors and writers make all efforts to clarify any financial ties behind the studies on which we report.
FRIDAY, Jan. 26, 2018 (HealthDay News) -- A standardized transplantation referral ratio (STReR) can assess clinical performance of transplant referral among dialysis facilities, according to a study published online Jan. 25 in the Clinical Journal of the American Society of Nephrology.
Sudeshna Paul, Ph.D., from Emory University in Atlanta, and colleagues used transplant referral data for 8,308 incident end-stage renal disease patients from 249 dialysis facilities in Georgia that were linked with United States Renal Data System data (2008 through 2011, with follow-up through 2012). After adjustment for patient case mix, facility-level expected referrals were computed and STReR was developed as a ratio of observed to expected referrals.
The researchers found that for facilities in Georgia, STReRs ranged from 0 to 4.87 (mean, 1.16). While 77 percent of facilities had observed referrals as expected, 12 percent had STReRs significantly greater than expected and 11 percent had STReRs significantly less than expected. The likelihood of referral was significantly associated with age, race, sex, and comorbid conditions, which were included in risk-adjustment calculations for STReR. There were positive associations between STReRs and evaluation, waitlisting, and transplantation. Roughly one-third of the variability in STReRs was due to between-facility variation, while two-thirds was attributed to within-facility variation.
"Our study demonstrates a method for computing a facility-level standardized measure for transplant referral based on a pilot sample of Georgia dialysis facilities that could be used to monitor transplant referral performance for dialysis facilities," the authors write.
One author disclosed financial ties to a dialysis company.
This story may be outdated. We suggest some alternatives.
The content contained in this article is over two years old. As such our recommendation is that you reference the articles below for the latest updates on this topic. This article has been left on our site as a matter of historic record. Please contact us at firstname.lastname@example.org with any questions.
Updated on May 28, 2022