Heart failure & cardiomyopathiesCohort study
Public Reporting of Heart Transplant Center Performance
- Retrospective cohort study
Authors' conclusion
The current 5-tier reporting of transplant center performance is highly volatile and has poor reliability and consistency.
Study context
- Population
- Pediatric and adult heart transplant centers, Scientific Registry of Transplant Recipients program-specific reports 2017–2021centers
- Participants
- 112 vs 55
- Exposure
- Adult vs Pediatric
- Adultn = 112
- Pediatricn = 55
- Outcome
- Stability, volatility and reliability of 3 publicly reported ratings: waitlist survival (WS), faster transplant (FT), post-transplantation graft failure (GF)
- Follow-up
- 2017-2021
Main finding
As reported in the abstract
Rating volatility, agreement and reliability
| Group | Waitlist survival (WS) volatility (SD) | Graft failure (GF) volatility (SD) | Faster transplant (FT) volatility (SD) |
|---|---|---|---|
| Adult | 0.77 | 0.76 | 0.57 |
| Pediatric | 0.79 | 0.66 | 0.68 |
- Centers with ≥1 rating change in ≥1 tier
- 98%
- Average time to first rating change, all tiers and centers
- 12-18 months
- Fleiss's kappa, all tiers except adult FT (poor agreement/consistency)
- <0.20
- Intraclass correlation coefficient, all tiers (poor reliability)
- <0.50
Observational data: associations, not effects.
Original publication
Public Reporting of Heart Transplant Center Performance. JACC Heart Fail. Published 10 April 2024. doi:10.1016/j.jchf.2024.01.021
Summarised from the published abstract; every number is checked against it