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December 8, 1999

Resource Use in Liver Transplantation

Author Affiliations

Phil B.FontanarosaMD, Interim CoeditorIndividualAuthorMargaret A.WinkerMD, Deputy EditorIndividualAuthorStephenLurieMD PhD, Fishbein FellowIndividualAuthor

JAMA. 1999;282(22):2123-2124. doi:10-1001/pubs.JAMA-ISSN-0098-7484-282-22-jbk1208

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.