TY - JOUR
T1 - Beyond death and graft survival—Variation in outcomes after kidney transplantation. Results from the NSQIP Transplant beta phase
AU - Parekh, Justin R.
AU - Hirose, Ryutaro
AU - Foley, David P.
AU - Grieco, Arielle
AU - Cohen, Mark E.
AU - Hall, Bruce L.
AU - Ko, Clifford Y.
AU - Greenstein, Stuart
N1 - Publisher Copyright:
© 2019 The American Society of Transplantation and the American Society of Transplant Surgeons
PY - 2019
Y1 - 2019
N2 - The National Surgical Quality Program (NSQIP) Transplant was designed by transplant surgeons from the ground up to track posttransplant outcomes beyond basic recipient and graft survival. After an initial pilot phase, the program has expanded to 29 participating sites and enrolled more than 4300 recipient-donor pairs into the database, including 2876 complete kidney transplant cases. In this analysis, surgical site infection (SSI), urinary tract infection (UTI), and reoperation/intervention were evaluated for kidney transplant recipients. We observed impressive variation in the crude incidence between sites for SSI (0%-17%), UTI (0%-14%), and reoperation/intervention (0%-25%). After adjustment for donor and recipient factors, 2 sites were outliers with respect to their incidence of UTI. For the first time, the field of transplantation has data that demonstrate variation in kidney recipient surgical outcomes between sites. More importantly, NSQIP Transplant provides a powerful platform to improve care beyond basic patient and graft survival.
AB - The National Surgical Quality Program (NSQIP) Transplant was designed by transplant surgeons from the ground up to track posttransplant outcomes beyond basic recipient and graft survival. After an initial pilot phase, the program has expanded to 29 participating sites and enrolled more than 4300 recipient-donor pairs into the database, including 2876 complete kidney transplant cases. In this analysis, surgical site infection (SSI), urinary tract infection (UTI), and reoperation/intervention were evaluated for kidney transplant recipients. We observed impressive variation in the crude incidence between sites for SSI (0%-17%), UTI (0%-14%), and reoperation/intervention (0%-25%). After adjustment for donor and recipient factors, 2 sites were outliers with respect to their incidence of UTI. For the first time, the field of transplantation has data that demonstrate variation in kidney recipient surgical outcomes between sites. More importantly, NSQIP Transplant provides a powerful platform to improve care beyond basic patient and graft survival.
KW - health services and outcomes research
KW - kidney (allograft) function/dysfunction
KW - kidney transplantation/nephrology
KW - organ transplantation in general
KW - quality of care/care delivery
KW - risk assessment/risk stratification
UR - http://www.scopus.com/inward/record.url?scp=85066141131&partnerID=8YFLogxK
U2 - 10.1111/ajt.15391
DO - 10.1111/ajt.15391
M3 - Article
C2 - 30980484
AN - SCOPUS:85066141131
SN - 1600-6135
VL - 19
SP - 2622
EP - 2630
JO - American Journal of Transplantation
JF - American Journal of Transplantation
IS - 9
ER -