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Program and OPO Specific Reports , July 2010


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Table 11
Patient Survival by Age and by Time since First Transplant of This Organ Type
For Patients Receiving their First Transplant of this type between 01/01/2007 and 06/30/2009 for the 1 Month and 1 Year Models; between 07/01/2004 and 12/31/2006 for the 3 Year Model
Center: Cedars-Sinai Medical Center (CACS)
Organ: KI: Kidney (Single-Organ Transplants Only; Re-transplants excluded)
                 
Patient Survival by Time since First Transplant
This Center United States
1 Month 1 Year 3 Years 1 Month 1 Year 3 Years
Adult (Age 18+)
Transplants (n=number) 1 258 258 183   33,947 33,947 33,821
Percent (%) of Patients Surviving at End of Period
Observed at this Center2 100.00 96.92 91.80 99.34 96.90 91.37
Expected, based on national experience3 99.17 96.12 91.39        
Deaths During Follow-up Period
Observed at this center 0 7 15 223 976 2,919
Expected, based on national experience 4 2.16 9.81 15.41 223 976 2,919
Ratio: Observed to Expected (O/E) 0.00 0.71 0.97 1.00 1.00 1.00
(95% Confidence Interval) 5 (0.00-1.71) (0.29-1.47) (0.54-1.61)
P-value (2-sided), observed v. expected 6 0.231 0.476 0.999
How does this center's survival compare to
what is expected for similar patients?
Not Significantly Different (a) Not Significantly Different (a) Not Significantly Different (a)        
Percent retransplanted 0.0 0.4 0.5 0.0 0.3 1.1
Follow-up days reported by center (%) 7 99.4 93.4 91.6 99.4 95.7 93.0
Maximum Days of Follow-up (n) 30 365 1,095 30 365 1,095
Pediatric (Age < 18)
Transplants (n) 1 3 3 16   1,785 1,785 1,967
Percent (%) of Patients Surviving at End of Period
Observed at this Center2 100.00 100.00 100.00 99.61 98.96 97.86
Expected, based on national experience3 - - -        
Deaths During Follow-up Period
Observed at this center 0 0 0 7 17 42
Expected, based on national experience 4 - - - - - -
Ratio: Observed to Expected (O/E) - - - 1.00 1.00 1.00
(95% Confidence Interval) 5 (---) (---) (---)
P-value (2-sided), observed v. expected 6 . . .
How does this center's survival compare to
what is expected for similar patients?
. . .        
Percent retransplanted 0.0 0.0 0.0 0.1 0.7 2.8
Follow-up days reported by center (%) 7 100.0 95.6 71.7 99.0 94.8 91.1
Maximum Days of Follow-up (n) 30 365 1,095 30 365 1,095
                 
Transplant Time Period 01/01/2007- 01/01/2007- 07/01/2004-   01/01/2007- 01/01/2007- 07/01/2004-
06/30/2009 06/30/2009 12/31/2006   06/30/2009 06/30/2009 12/31/2006
The data reported here were prepared by the Scientific Registry of Transplant Recipients (SRTR) under contract with the Health Resources and Services Administration (HRSA).
NA=Not Applicable.
1
Transplants during the time period indicated in the last row of the table.
2 Observed surival rates use the Kaplan-Meier method to estimate outcomes for patients for whom complete follow-up is not expected; see Analytic Methods for more details. Because different cohorts are followed for each time period, it is possible for reported 3-year survival to exceed 1-year survival.
3 The survival rate that would be expected for the patients served by this center, given the characteristic mix of the recipient and donor (age, disease, blood type, etc.) and the experience of similar patients in the entire country. See the Analytic Methods for a description of adjustment and complete list of adjustment factors.
4 The number of deaths that would be expected during the follow-up time, as described in footnote 3. Unlike the expected survival percent, the expected count of deaths reflects the expected number of deaths only during the time the patient is alive and actually followed; therefore, it accounts for differences in the time that elapses from transplant until death.
5 The 95% confidence interval gives a range of values for the true ratio of deaths at the facility to those expected based on the national experience. The true ratio will be between this lower and upper bound 95% of the time.
6 A p-value less than or equal to 0.05 indicates that the difference between the actual and expected patient survival is probably real and is not due to random chance, while a p-value greater than 0.05 indicates that the difference could possibly be due to random chance.
(a) This difference could plausibly be just a chance occurrence.
7 Of days expected to be included in the follow-up period, the percentage of days covered by follow-up reporting at this center for these transplants. Additional follow-up days included in survival may be covered by SSDMF data. This measures the possibility that events such as failure have occurred without being reported, and it is not a measure of compliance.
Based on data available as of 04/30/2010. Release at www.ustransplant.org on 07/13/2010.
The SRTR is administered by the Arbor Research Collaborative for Health with the University of Michigan,
with oversight and funding from the Health Resources and Services Administration.

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