To the Editor. The article by Dr Showstack
and colleagues1 regarding the effect of
patient characteristics and clinical practice on resource use in liver transplantation
includes several points the authors should address. First, the conclusion
that patients with higher medical urgency have higher transplantation cost
is not a novel finding and was demonstrated years ago.2
The authors have not taken into account sufficient variables in patient characteristics
to validate their other conclusion, namely, that variability in center practice
accounts for large differences in costs for liver transplantation.
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