The Collaborative Innovation and Improvement Network (COIIN): Effect on donor yield, waitlist mortality, transplant rates, and offer acceptance.
Organ Procurement and Transplantation Network (OPTN)
Scientific Registry for Transplant Recipients (SRTR)
clinical research/practice
kidney transplantation/nephrology
organ procurement and allocation
Journal
American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons
ISSN: 1600-6143
Titre abrégé: Am J Transplant
Pays: United States
ID NLM: 100968638
Informations de publication
Date de publication:
04 2020
04 2020
Historique:
received:
06
06
2019
revised:
19
09
2019
accepted:
06
10
2019
pubmed:
16
10
2019
medline:
22
6
2021
entrez:
16
10
2019
Statut:
ppublish
Résumé
The Organ Procurement and Transplantation Network implemented the Collaborative Improvement and Innovation Network (COIIN) to improve the use of donors with kidney donor profile index >50%. COIIN recruited 2 separate cohorts of kidney transplant programs. Cohort A included 19 programs of 44 applicants (January 1, 2017, to September 30, 2017), and cohort B included 39 programs of 47 applicants (October 1, 2017, to June 30, 2018). We investigated the effect of COIIN on kidney yield (number of kidneys transplanted from donors from whom any organ was recovered), offer acceptance, deceased donor transplant rates, and waitlist mortality rates for January 1, 2016, to March 31, 2019. COIIN did not notably affect kidney yield or waitlist mortality rates. Cohort A, but not cohort B, had significantly higher deceased donor transplant and offer acceptance rates during its intervention period than programs not in COIIN (adjusted transplant rate ratio: cohort A,
Identifiants
pubmed: 31612617
doi: 10.1111/ajt.15657
pii: S1600-6135(22)22285-0
doi:
Types de publication
Journal Article
Research Support, U.S. Gov't, P.H.S.
Langues
eng
Sous-ensembles de citation
IM
Pagination
1076-1086Subventions
Organisme : AHRQ HHS
ID : R01 HS024527
Pays : United States
Organisme : HRSA HHS
ID : HHSH250201500009C
Pays : United States
Informations de copyright
Published 2019. This article is a U.S. Government work and is in the public domain in the USA.
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