A Five-Tier System for Improving the Categorization of Transplant Program Performance.

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Abstract

OBJECTIVE

To better inform health care consumers by better identifying differences in transplant program performance.

DATA SOURCE

Adult kidney transplants performed in the United States, January 1, 2012-June 30, 2014.

STUDY DESIGN

In December 2016, the Scientific Registry of Transplant Recipients instituted a five-tier system for reporting transplant program performance. We compare the differentiation of program performance and the simulated misclassification rate of the five-tier system with the previous three-tier system based on the 95 percent credible interval.

DATA COLLECTION

Scientific Registry of Transplant Recipients database.

PRINCIPAL FINDINGS

The five-tier system improved differentiation and maintained a low misclassification rate of less than 22 percent for programs differing by two tiers.

CONCLUSION

The five-tier system will better inform health care consumers of transplant program performance.

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