Competition and Post-Transplant Outcomes in Cadaveric Liver Transplantation under the MELD Scoring System
AbstractPrevious 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.
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Bibliographic InfoPaper provided by Center for Intergenerational Studies, Institute of Economic Research, Hitotsubashi University in its series CIS Discussion paper series with number 522.
Length: 50 p.
Date of creation: Aug 2011
Date of revision:
Note: First Draft: 15 September 2010; this Draft: 5 July 2011.
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liver transplantation; competition; optimal stopping;
Other versions of this item:
- 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.
- C14 - Mathematical and Quantitative Methods - - Econometric and Statistical Methods and Methodology: General - - - Semiparametric and Nonparametric Methods: General
- I12 - Health, Education, and Welfare - - Health - - - Health Production
- L1 - Industrial Organization - - Market Structure, Firm Strategy, and Market Performance
This paper has been announced in the following NEP Reports:
- NEP-ALL-2011-09-05 (All new papers)
- NEP-COM-2011-09-05 (Industrial Competition)
- NEP-HEA-2011-09-05 (Health Economics)
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