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

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

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.

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File URL: http://www.carloalberto.org/assets/working-papers/no.213.pdf
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Paper provided by Collegio Carlo Alberto in its series Carlo Alberto Notebooks with number 213.

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Length: 51 pages
Date of creation: 2011
Date of revision:
Handle: RePEc:cca:wpaper:213
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