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Doing a Volume Business in Liver Transplants Wall Street Journal Article Presentation

Doing a Volume Business in Liver Transplants Wall Street Journal Article Presentation. Ya Kuza: Kailee McGuire, Shogo Matsuta, Andy Marshall, and Patrick Maginnity. The History. Dr. Thomas Starzl was the first doctor to successfully transplant a human liver in 1981.

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Doing a Volume Business in Liver Transplants Wall Street Journal Article Presentation

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  1. Doing a Volume Business in Liver TransplantsWall Street Journal Article Presentation Ya Kuza: Kailee McGuire, Shogo Matsuta, Andy Marshall, and Patrick Maginnity

  2. The History • Dr. Thomas Starzl was the first doctor to successfully transplant a human liver in 1981. • The University of Pittsburgh Medical Center (UPMC) was the leader for transplant studies. • Has centers in Pennsylvania, Ireland, Qatar, and many other countries.

  3. The Facts • UPMC is a nonprofit hospital receiving most of its’ income from the government. • Annual income is around $7 billion total. • At its peak in the mid-1980’s UPMC was performing over 600 transplants per year.

  4. The New Surgeon • Dr. Amadeo Marcos promised to double the number of annual transplants within one year • Came to UPMC promising “five liver transplants per week” as well as doubling the numbers in the first year • Was offered $500,000 a year plus “additional incentive payments” • Came on as the Director of Clinical Transplantation in 2002

  5. Dr. Marcos’ Improvements • Raised the one-year survival rate from 81.2 % to 84.1 % • Brought UPMC back in to the public eye and brought acclaim back to the United States

  6. The Baggage • Pressured to resign from the Virginia Commonwealth University School of Medicine after a female colleague filed a sexual assault allegation • Performed transplants on patients whose Model End Stage Liver Disease (MELD) scores were below the average • Also, circumvented rules at the University of Rochester Medical Center, which did not affect his standing at UPMC.

  7. The Baggage, cnt’d • Performed transplants with expanded-criteria livers, as well as livers from living donors • 69% of the patients had a MELD score of 14 or lower • Put the living donors at risk by assuming that the livers would regenerate in the healthy donors

  8. Dr. Starzl, The Informer • The original doctor to perform a successful liver transplant • Still researches from his office on campus • Became suspicious of Dr. Marcos’ reports • Found that 60% of Marcos’ patients suffered life threatening complications • Had to obtain patient consent in order to have any part of his findings published

  9. The Resolution • Dr. Marcos was asked to resign and did so in March of 2007. • UPMC had to make amends for all of the bad publicity that Dr. Marcos had earned them.

  10. Any Questions??

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