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Competition and Post-Transplant Outcomes in Cadaveric Liver Transplantation under the MELD Scoring System

Author

Listed:
  • Harry J. Paarsch
  • Alberto M. Segre
  • John P. Roberts
  • Jeffrey B. Halldorson

Abstract

Previous researchers have modelled the decision to accept a donor organ for transplantation as a Markov decision problem, the solution to which is often a control-limit optimal policy: accept any organ whose match quality exceeds some health-dependent threshold; otherwise, wait for another. When competing transplant centers vie for the same organs, the decision rule changes relative to no competition; the relative size of competing centers affects the decision rules as well. Using center-specific graft and patient survival-rate data for cadaveric adult livers in the United States, we have found empirical evidence supporting these predictions.

Suggested Citation

  • Harry J. Paarsch & Alberto M. Segre & John P. Roberts & Jeffrey B. Halldorson, 2011. "Competition and Post-Transplant Outcomes in Cadaveric Liver Transplantation under the MELD Scoring System," Carlo Alberto Notebooks 213, Collegio Carlo Alberto.
    • Handle: RePEc:cca:wpaper:213
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    References listed on IDEAS

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    More about this item

    Keywords

    liver transplantation; competition; optimal stopping;
    All these keywords.

    JEL classification:

    • C14 - Mathematical and Quantitative Methods - - Econometric and Statistical Methods and Methodology: General - - - Semiparametric and Nonparametric Methods: General
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • L1 - Industrial Organization - - Market Structure, Firm Strategy, and Market Performance

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