• About
  • Masthead
  • License Content
  • Advertise
  • Submit Press Release
  • RSS/Email List
  • Write for us
  • Contact us
2 Minute Medicine
No Result
View All Result

No products in the cart.

SUBSCRIBE
  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • AccountLog-in/out
    • Subscribe
    • Sign-in
    • My account
2 Minute Medicine
  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • AccountLog-in/out
    • Subscribe
    • Sign-in
    • My account
SUBSCRIBE
2 Minute Medicine
Subscribe
Home All Specialties Chronic Disease

Distance to Veterans Affairs Transplant Center affects likelihood of liver transplantation

byCamellia BanerjeeandBrittany Hasty, MD
March 26, 2014
in Chronic Disease, Gastroenterology, Surgery
Reading Time: 3 mins read
0
Share on FacebookShare on Twitter

Image: PD 

1. The greater the distance between the patient’s local Veterans Affairs (VA) hospital and Veterans Affairs Transplant Center (VATC), the less the likelihood of receiving a transplant when indicated. 

2. Of those waitlisted, the survival rate was less for those who lived further than those who lived closer to the VATC. 

Evidence Rating Level: 2 (Good)

Study Rundown: Healthcare centralization is necessary among highly specialized services such as liver transplantation resulting in difficulty for patients in often more rural areas. This study examined the relationship of distance between a VA (Veterans Affairs) hospital and VATC (Veterans Affairs Transplant Center). Veterans who were eligible for liver transplant were evaluated between 2003 and 2010 to identify those who were waitlisted and the relationship to their distance to VA transplant centers (VATC) and their distance to non-VA transplant center.  In addition, the mortality was evaluated in relationship to this.  The study found that with increasing distance to the VATC, there was a decrease likelihood of being placed on a waitlist.  When looking at non-VA transplant centers, the trend was the same with a decreased likelihood of being placed on a waitlist with increasing distance.  Furthermore, there was significantly increased mortality associated with increased distance from VATC (i.e., those living 25 miles away had a greater probability of survival than those who lived 100 miles away).  The strengths of this study are the accessibility to VA records and a direct estimate could be made, whereas previous studies relied on hypothetical cohorts. The biggest limitation in this study is its inability to comment on other factors that may have contributed to the waitlist including psychosocial contraindications, hepatocellular carcinoma stage and possible VATC preferences.  Nevertheless, this study argues that a there is a need for further investigation into centralizing specialized care.

Click to read the study, published today in JAMA

Relevant Reading: Geographic inequity in access to livers for transplantation

RELATED REPORTS

#VisualAbstract Ponatinib with FLAG-IDA is a feasible and active treatment strategy in patients with blast-phase chronic myeloid leukaemia

#VisualAbstract: Immune dysfunction is associated with a higher risk of breakthrough COVID-19 infection

#VisualAbstract Half of the organ transplant recipients who develop skin cancers post-transplant will develop at least another skin cancer within two years

In-Depth [retrospective cohort]: This study examined 50,637 veterans who were active users of the VA system from 2003-2010 and who were eligible for liver transplant and the relationship between the distance between the veteran’s home VA hospital and the VATC and/or any transplant center.  For less than 100 miles, the percentage of veterans waitlisted at VATC was 7.1% compared to 10.9% at any center.  For those located more than 100 miles from a VATC, 2.5% were waitlisted at a VATC compared to 5.3% at any transplant center.  As distance increased, the percentage waitlisted decreased (p < 0.001).  In addition, there was an increase in risk of mortality as distance from VA hospital to VATC increased (HR 1.03, 95% CI, 59.3%-63.1%).

More from this author: Early onset dementia strongly correlated with alcohol intoxication in men, Perceived futility of treatments in the ICU dependent on key patient factors, Separate panels of microRNAs may aid in early detection of pancreatic cancer, Reduced doses of human papillomavirus vaccine may be effective in preventing condyloma, Long term gastric acid suppression associated with vitamin B12 deficiency

©2012-2014 2minutemedicine.com. All rights reserved. No works may be reproduced without expressed written consent from 2minutemedicine.com. Disclaimer: We present factual information directly from peer reviewed medical journals. No post should be construed as medical advice and is not intended as such by the authors, editors, staff or by 2minutemedicine.com. PLEASE SEE A HEALTHCARE PROVIDER IN YOUR AREA IF YOU SEEK MEDICAL ADVICE OF ANY SORT. 

 

 

Tags: transplantveterans
Previous Post

Insufficient evidence for dementia screening tests in older adults

Next Post

Web-based intervention insufficient for reducing drinking among students

RelatedReports

#VisualAbstract Ponatinib with FLAG-IDA is a feasible and active treatment strategy in patients with blast-phase chronic myeloid leukaemia
StudyGraphics

#VisualAbstract Ponatinib with FLAG-IDA is a feasible and active treatment strategy in patients with blast-phase chronic myeloid leukaemia

June 12, 2022
#VisualAbstract: Immune dysfunction is associated with a higher risk of breakthrough COVID-19 infection
StudyGraphics

#VisualAbstract: Immune dysfunction is associated with a higher risk of breakthrough COVID-19 infection

January 5, 2022
#VisualAbstract Half of the organ transplant recipients who develop skin cancers post-transplant will develop at least another skin cancer within two years
StudyGraphics

#VisualAbstract Half of the organ transplant recipients who develop skin cancers post-transplant will develop at least another skin cancer within two years

October 29, 2021
#VisualAbstract Transplantation with omidubicel showed faster hematopoietic recovery and fewer early complications compared to standard myeloablative umbilical cord blood graft
StudyGraphics

#VisualAbstract Transplantation with omidubicel showed faster hematopoietic recovery and fewer early complications compared to standard myeloablative umbilical cord blood graft

October 28, 2021
Next Post
Naltrexone reduces drinking in alcoholics with post-traumatic stress disorder

Web-based intervention insufficient for reducing drinking among students

Severe maternal childhood abuse associated with autism in offspring

Focal cytoarchitectural abnormalities in the brains of children with autism

Stereotactic radiosurgery promising for patients with multiple brain metastases

Radiation may have a role treating brain metastases from lung cancer

License Our Award-Winning Physician-Written Medical News and Visual Abstracts

2 Minute Medicine is the leading authoritative medical news licensing service, and the only with reports written by practicing doctors.

LICENSE CONTENT

2MM+ Premium Access

No ads & unlimited access to all current reports, over 9000 searchable archived reports, visual abstracts, Weekly Rewinds, and the online edition of The Classics Series™ textbook.

Subscription Options
2 Minute Medicine

2 Minute Medicine® is an award winning, physician-run, expert medical media company. Our content is curated, written and edited by practicing health professionals who have clinical and scientific expertise in their field of reporting. Our editorial management team is comprised of highly-trained MD physicians. Join numerous brands, companies, and hospitals who trust our licensed content.

Recent Reports

  • Cognitive behavioral therapy efficacious for treatment of comorbid posttraumatic headache and posttraumatic stress disorder symptoms among US veterans
  • Sickle cell trait associated with preexisting kidney comorbidities and increased COVID-19 mortality
  • Adding atezolizumab to standard of care treatment for human epidermal growth factor receptor 2 (HER2) positive early breast cancer does not improve pathologic response outcomes
License Content
Terms of Use | Disclaimer
Cookie Policy
Privacy Statement (EU)
Disclaimer

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.

  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.