Reducing the length of stay after kidney transplantation - The intensive outpatient unit

Ron Shapiro, Mark L. Jordan, Velma P. Scantlebury, Carlos Vivas, H. Albin Gritsch, Lisa Fox-Hawranko, Howard Doyle, Lee Brun Johnson, Regina Fenton, Lisa Painter, Kristine Keefer-Wolf, Charleeda Redman, Jerry McCauley, John J. Fung, Thomas R. Hakala, Thomas E. Starzl, Richard L. Simmons

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

The need to reduce the costs associated with the initial hospitalization for kidney transplantation has led to the development of outpatient facilities in which patients can be seen on a daily basis. The implementation of a kidney transplant intensive outpatient unit (IOPU) is described. Prior to the opening of the IOPU, the median and mean lengths of stay after kidney transplantation in our program were 14.0 and 18.9 d, respectively. Subsequent to the opening of the IOPU, the median and mean lengths of stay after kidney transplantation have gradually decreased and are currently 5.0 and 7.5 d, respectively. The median inpatient cost of transplantation, excluding organ acquisition charges, has decreased by 54%, from $25,516 to $11,616. Patient satisfaction has exceeded 80%. The IOPU represents an effective means of reducing the cost associated with transplantation, without sacrificing the quality of care.

Original languageEnglish (US)
Pages (from-to)482-485
Number of pages4
JournalClinical Transplantation
Volume12
Issue number5
StatePublished - Oct 1998
Externally publishedYes

Fingerprint

Kidney Transplantation
Length of Stay
Outpatients
Costs and Cost Analysis
Quality of Health Care
Organ Transplantation
Patient Satisfaction
Inpatients
Hospitalization
Transplantation
Transplants
Kidney

Keywords

  • Cost
  • Kidney transplantation
  • Length of stay
  • Outpatient unit

ASJC Scopus subject areas

  • Transplantation
  • Immunology

Cite this

Shapiro, R., Jordan, M. L., Scantlebury, V. P., Vivas, C., Gritsch, H. A., Fox-Hawranko, L., ... Simmons, R. L. (1998). Reducing the length of stay after kidney transplantation - The intensive outpatient unit. Clinical Transplantation, 12(5), 482-485.

Reducing the length of stay after kidney transplantation - The intensive outpatient unit. / Shapiro, Ron; Jordan, Mark L.; Scantlebury, Velma P.; Vivas, Carlos; Gritsch, H. Albin; Fox-Hawranko, Lisa; Doyle, Howard; Johnson, Lee Brun; Fenton, Regina; Painter, Lisa; Keefer-Wolf, Kristine; Redman, Charleeda; McCauley, Jerry; Fung, John J.; Hakala, Thomas R.; Starzl, Thomas E.; Simmons, Richard L.

In: Clinical Transplantation, Vol. 12, No. 5, 10.1998, p. 482-485.

Research output: Contribution to journalArticle

Shapiro, R, Jordan, ML, Scantlebury, VP, Vivas, C, Gritsch, HA, Fox-Hawranko, L, Doyle, H, Johnson, LB, Fenton, R, Painter, L, Keefer-Wolf, K, Redman, C, McCauley, J, Fung, JJ, Hakala, TR, Starzl, TE & Simmons, RL 1998, 'Reducing the length of stay after kidney transplantation - The intensive outpatient unit', Clinical Transplantation, vol. 12, no. 5, pp. 482-485.
Shapiro R, Jordan ML, Scantlebury VP, Vivas C, Gritsch HA, Fox-Hawranko L et al. Reducing the length of stay after kidney transplantation - The intensive outpatient unit. Clinical Transplantation. 1998 Oct;12(5):482-485.
Shapiro, Ron ; Jordan, Mark L. ; Scantlebury, Velma P. ; Vivas, Carlos ; Gritsch, H. Albin ; Fox-Hawranko, Lisa ; Doyle, Howard ; Johnson, Lee Brun ; Fenton, Regina ; Painter, Lisa ; Keefer-Wolf, Kristine ; Redman, Charleeda ; McCauley, Jerry ; Fung, John J. ; Hakala, Thomas R. ; Starzl, Thomas E. ; Simmons, Richard L. / Reducing the length of stay after kidney transplantation - The intensive outpatient unit. In: Clinical Transplantation. 1998 ; Vol. 12, No. 5. pp. 482-485.
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