Impact of institutional case volume of solid organ transplantation on patient outcomes and implications for healthcare policy in Korea
Solid organ transplantation is distinguished from other high-risk surgical procedures by the fact that it utilizes an extremely limited and precious resource and requires a multidisciplinary team approach. For several decades, institutional experience, as quantified by center volume, has been shown...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Korean Society for Transplantation
2023-03-01
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| Series: | Korean Journal of Transplantation |
| Subjects: | |
| Online Access: | http://www.ekjt.org/journal/view.html?doi=10.4285/kjt.23.0010 |
| _version_ | 1797368206113898496 |
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| author | Christine Kang Ho Geol Ryu |
| author_facet | Christine Kang Ho Geol Ryu |
| author_sort | Christine Kang |
| collection | DOAJ |
| description | Solid organ transplantation is distinguished from other high-risk surgical procedures by the fact that it utilizes an extremely limited and precious resource and requires a multidisciplinary team approach. For several decades, institutional experience, as quantified by center volume, has been shown to be strongly associated with patient outcomes and graft survival after solid organ transplantation. The United States has implemented a minimum case volume requirement and performance standards for accreditation as a validated transplantation center. Solid organ transplantation in Europe is also governed by the European Union, which monitors patient outcomes and organ allocation. The number of solid organ transplantation cases in Korea is increasing, with patient outcomes comparable to international standards. However, Korea has outdated regulations regarding hospital facilities, and performance indicators including patient outcomes after transplantation are not monitored. Therefore, centers perform solid organ transplantation with no meaningful oversight. In this review, data regarding the impact of institutional case volume of kidney, liver, lung, and heart transplantation are summarized, followed by a description of current transplantation center regulations in the United States and Europe. The basis for the necessity of adequate transplantation center regulations in Korea is presented. |
| first_indexed | 2024-03-08T17:29:18Z |
| format | Article |
| id | doaj.art-ff382a2f09a14205ac6d2d166da976ce |
| institution | Directory Open Access Journal |
| issn | 2671-8790 |
| language | English |
| last_indexed | 2024-03-08T17:29:18Z |
| publishDate | 2023-03-01 |
| publisher | Korean Society for Transplantation |
| record_format | Article |
| series | Korean Journal of Transplantation |
| spelling | doaj.art-ff382a2f09a14205ac6d2d166da976ce2024-01-02T17:27:16ZengKorean Society for TransplantationKorean Journal of Transplantation2671-87902023-03-0137111010.4285/kjt.23.0010kjt.23.0010Impact of institutional case volume of solid organ transplantation on patient outcomes and implications for healthcare policy in KoreaChristine Kang0Ho Geol Ryu1Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, KoreaDepartment of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, KoreaSolid organ transplantation is distinguished from other high-risk surgical procedures by the fact that it utilizes an extremely limited and precious resource and requires a multidisciplinary team approach. For several decades, institutional experience, as quantified by center volume, has been shown to be strongly associated with patient outcomes and graft survival after solid organ transplantation. The United States has implemented a minimum case volume requirement and performance standards for accreditation as a validated transplantation center. Solid organ transplantation in Europe is also governed by the European Union, which monitors patient outcomes and organ allocation. The number of solid organ transplantation cases in Korea is increasing, with patient outcomes comparable to international standards. However, Korea has outdated regulations regarding hospital facilities, and performance indicators including patient outcomes after transplantation are not monitored. Therefore, centers perform solid organ transplantation with no meaningful oversight. In this review, data regarding the impact of institutional case volume of kidney, liver, lung, and heart transplantation are summarized, followed by a description of current transplantation center regulations in the United States and Europe. The basis for the necessity of adequate transplantation center regulations in Korea is presented.http://www.ekjt.org/journal/view.html?doi=10.4285/kjt.23.0010delayed graft function; health policy; mortality; organ transplantation; treatment outcome |
| spellingShingle | Christine Kang Ho Geol Ryu Impact of institutional case volume of solid organ transplantation on patient outcomes and implications for healthcare policy in Korea Korean Journal of Transplantation delayed graft function; health policy; mortality; organ transplantation; treatment outcome |
| title | Impact of institutional case volume of solid organ transplantation on patient outcomes and implications for healthcare policy in Korea |
| title_full | Impact of institutional case volume of solid organ transplantation on patient outcomes and implications for healthcare policy in Korea |
| title_fullStr | Impact of institutional case volume of solid organ transplantation on patient outcomes and implications for healthcare policy in Korea |
| title_full_unstemmed | Impact of institutional case volume of solid organ transplantation on patient outcomes and implications for healthcare policy in Korea |
| title_short | Impact of institutional case volume of solid organ transplantation on patient outcomes and implications for healthcare policy in Korea |
| title_sort | impact of institutional case volume of solid organ transplantation on patient outcomes and implications for healthcare policy in korea |
| topic | delayed graft function; health policy; mortality; organ transplantation; treatment outcome |
| url | http://www.ekjt.org/journal/view.html?doi=10.4285/kjt.23.0010 |
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