Rejecting Bias: The Case Against Race Adjustment for OPO Performance in Communities of Color.

Clicks: 115
ID: 103371
2020
Article Quality & Performance Metrics
Overall Quality
Not rated
Combines reader engagement with the AI quality analysis. This article has not been analysed, so there is no overall score — reader engagement is measured and shown alongside.
AI Quality Assessment
Not analyzed
Readership in this journal
Emerging

Ranked #41 of 54 articles by views in american journal of transplantation : official journal of the american society of transplantation and the american society of transplant surgeons

Most read Least read

Bar heights use a square-root scale.

Mint this article as an NFT
Not yet minted

Create a permanent, verifiable on-chain record of this article on the Scimatic Network. The NFT is held in your Journament account, and you can withdraw it to your own wallet at any time.

5 SUSD one-off · no wallet required
Sign in to mint
Abstract
In December of 2019, the Centers for Medicare and Medicaid Services (CMS) put out a notice of proposed rule-making (NPRM) for 42 CFR Part 486, specifically the section that covers the organ procurement organization (OPO) Conditions for Coverage (CfCs). Most crucially, the proposed rule included two new OPO performance metrics using objective, standardized data from the Centers for Disease Control and Prevention (CDC). These new metrics would employ a denominator that included inpatient deaths from certain causes that could lead to organ donation, rather than the current unverifiable eligible death metric. While there has been near-uniform support for replacing the eligible death denominator with CDC data, a source of contention is CMS's proposal to not risk adjust for race in their OPO outcome. Nonetheless, there have been calls for race and ethnicity to be included as risk adjusted variables in the CMS donation metric. Herein, we lay out an argument as to why inclusion of race and ethnicity as risk adjustment variables in an OPO performance metric is not only statistically suspect but will hide the inequities that are detrimental to optimal system performance and assurance that all patients have timely access to donation.
Reference Key
goldberg2020rejectingamerican Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Goldberg, David;Doby, Brianna;Siminoff, Laura;Shah, Malay;Lynch, Raymond;
Journal american journal of transplantation : official journal of the american society of transplantation and the american society of transplant surgeons
Year 2020
DOI
10.1111/ajt.15865
URL
Keywords Keywords not found

Citations

No citations found. To add a citation, contact the admin at info@scimatic.org

Comments

No comments yet. Be the first to comment on this article.