Table II.
Top 10 OPTN factors associated with increased length of stay and Medicare payments for the transplant procedure
| Factor | % Increase in length of stay vs. reference | Factor | Increase in Medicare payments vs. reference ($) |
|---|---|---|---|
| Cause of ESRD: type I diabetes mellitus (ref = other) | 21.09 (18.65 vs. 23.58) | Cold ischemia time > 36 h (ref = Cols ischemia time between 0-12 h) | 2,255.81 (1,176.61 vs. 3,335 |
| Donation after cardiac death (ref = no DCD) | 14.53 (11.26 vs. 17.90) | Cause of ESRD: type I diabetes mellitus (ref = other) | 2,080.56 (1,096.13 vs. 3,064.99) |
| Cold ischemia time > 36 h (ref = cols ischemia time between 0-12 h) | 14.14 (11.63 vs. 16.71) | Myocardial infarction (ref = no myocardial infarction) | 1,830.23 (217.76 vs. 3,442.70) |
| Physical functional limitations (ref = no physical functional limitations) | 12.49 (10.87 vs. 14.09) | Donation after cardiac death (ref = no DCD) | 1,519.53 (92.92 vs. 2,946.13) |
| Donor age more than 60 years (ref = donor age between 18 and 29 years) | 12.14 (9.48 vs. 14.87) | DR mismatches (ref = no DR mismatches) | 1,345.36 (653.50 vs. 2,037.22) |
| Dialysis duration more than 60 months (ref = duration between 12 and 24 months) | 10.91 (9.42 vs. 12.43) | Donor unknown weight (ref = donor normal weight) | 1,331.91 (－118.23 vs. 2,782.05) |
| DR mismatches (ref = no DR mismatches) | 10.86 (9.17 vs. 12.58) | Physical functional limitations (ref = no physical functional limitations) | 1,286.62 (572.81 vs. 2,000.43) |
| Myocardial infarction (ref = no myocardial infarction) | 9.64 (6.00 vs. 13.40) | Diabetes mellitus (ref = no diabetes mellitus) | 1,156.60 (483.48 vs. 1,829.72) |
| Diabetes mellitus (ref = no diabetes mellitus) | 8.66 (7.13 vs. 10.20) | COPD (ref = no COPD) | 1,095.03 (－313.78 vs. 2,503.83) |
| Donor age 44 to 59 years (ref = donor age between 18 and 29 years) | 8.18 (6.71 vs. 9.68) | Hispanic recipient (ref = no Hispanic recipient) | 896.71 (249.73 vs. 1,543.68) |