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LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00005830naa a2200853 4500
001oai:gup.ub.gu.se/127658
003SwePub
008240528s2009 | |||||||||||000 ||eng|
009oai:lup.lub.lu.se:818c49db-d16c-4d6a-b5f5-5654e4ec4cd1
009oai:prod.swepub.kib.ki.se:119441579
0247 a https://gup.ub.gu.se/publication/1276582 URI
0247 a https://doi.org/10.1111/j.1432-2277.2009.00894.x2 DOI
0247 a https://lup.lub.lu.se/record/14884562 URI
0247 a http://kipublications.ki.se/Default.aspx?queryparsed=id:1194415792 URI
040 a (SwePub)gud (SwePub)lud (SwePub)ki
041 a eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
1001 a Elinder, Carl-Gustafu Karolinska Institutet4 aut
2451 0a Variations in graft and patient survival after kidney transplantation in Sweden: caveats in interpretation of center effects when benchmarking.
264 1b Frontiers Media SA,c 2009
520 a Benchmarking and comparisons between transplantation centers are becoming more common. A crude comparison indicated a 50% difference in patient survival between centers in Sweden. A 'task group' was formed to refute or confirm and learn from this observation. Patient survival and graft survival of 5 933 patients transplanted at three different transplantation centers in Sweden (Stockholm, Göteborg, and Malmö) were followed up until February 2007. Patient survival and graft survival were compared between the centers with and without consideration being given to important covariates such as time period, type of donation (living or deceased donor), gender, and age. A refined cohort of 2,956 adult patients that had been transplanted for the first time between 1991 and 2007 was assessed in more detail using Cox regression analysis. The difference in patient and transplant outcome observed in the crude comparison diminished considerably after adjustment for differences in case mix and time period of transplantation, and was neither evident nor significant after 1999. Patient survival and graft survival have improved considerably during the time period since 1991. The adjusted hazards ratio for mortality was 0.39 (95% CI 0.29-0.53) for patients who were transplanted after 1999 when compared with those transplanted between 1991 and 1994. Crude comparisons between results from transplantation centers may be severely confounded not only by case mix but also by differences in the proportion of patients transplanted during different time periods. Patient outcome and graft outcome have improved considerably since 1991, and after 1999 center effects were no longer apparent in Sweden.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Kirurgi0 (SwePub)302122 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Surgery0 (SwePub)302122 hsv//eng
653 a Adolescent
653 a Adult
653 a Aged
653 a Benchmarking
653 a Confounding Factors (Epidemiology)
653 a Female
653 a Follow-Up Studies
653 a Graft Survival
653 a Humans
653 a Kidney Diseases
653 a classification
653 a epidemiology
653 a surgery
653 a Kidney Transplantation
653 a mortality
653 a statistics & numerical data
653 a Male
653 a Middle Aged
653 a Proportional Hazards Models
653 a Retrospective Studies
653 a Survival Analysis
653 a Sweden
653 a epidemiology
653 a Time Factors
653 a Tissue Donors
653 a statistics & numerical data
653 a Treatment Outcome
653 a Young Adult
653 a kidney transplantation
653 a benchmarking
653 a graft survival
653 a patient survival
653 a time periods
7001 a Ekberg, Henriku Lund University,Lunds universitet,Enheten för forskning kring njurfunktion och njursjukdom,Kirurgi,Forskargrupper vid Lunds universitet,Renal Research Unit,Surgery,Lund University Research Groups4 aut0 (Swepub:lu)kir-hek
7001 a Bárány, Peteru Karolinska Institutet4 aut
7001 a Fehrman-Ekholm, Ingela,d 1947u Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för kirurgi,Institute of Clinical Sciences, Department of Surgery4 aut0 (Swepub:gu)xfehri
7001 a Jensen, Gert,d 1950u Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine4 aut0 (Swepub:gu)xjenge
7001 a Nordén, Gunnela,d 1945u Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för kirurgi,Institute of Clinical Sciences, Department of Surgery4 aut0 (Swepub:gu)xnordg
7001 a Schön, Staffan4 aut
7001 a Wennberg, Larsu Karolinska Institutet4 aut
7001 a Qureshi, Abdul Rashidu Karolinska Institutet4 aut
7102 a Karolinska Institutetb Enheten för forskning kring njurfunktion och njursjukdom4 org
7730 t Transplant international : official journal of the European Society for Organ Transplantationd : Frontiers Media SAg 22:11, s. 1051-7q 22:11<1051-7x 1432-2277x 0934-0874
7730 t Transplant Internationald : Frontiers Media SAg 22:11, s. 1051-7q 22:11<1051-7x 0934-0874
8564 u http://dx.doi.org/10.1111/j.1432-2277.2009.00894.xy FULLTEXT
8564 8u https://gup.ub.gu.se/publication/127658
8564 8u https://doi.org/10.1111/j.1432-2277.2009.00894.x
8564 8u https://lup.lub.lu.se/record/1488456
8564 8u http://kipublications.ki.se/Default.aspx?queryparsed=id:119441579

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