Transplant News stories from March, 2002

Growing number of patients who might benefit from liver transplant removed from wait list

By AMERICAN COLLEGE OF SURGEONS

In 2007 the Centers for Medicare and Medicaid Services (CMS) began a new regulatory policy, called Conditions of Participation, or CoP.

The investigators found that immediately after CoP implementation, there was a 16 percent spike in liver transplant candidate delisting because of patients becoming “too sick for transplant” or “medically unsuitable.” The likelihood of delisting continued to increase by 3 percent per quarter through the end of the study according to the researchers. They reported that, on average, there was one delisting for every nine transplants in the years before CoP implementation, but that ratio rose to 1:5 after implementation.

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