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

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Ya Kuza: Kailee McGuire, Shogo Matsuta, Andy Marshall, and Patrick Maginnity

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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. - PowerPoint PPT Presentation

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

Page 1: Doing a Volume Business in Liver Transplants Wall Street Journal Article Presentation

Ya Kuza:Kailee McGuire, Shogo Matsuta, Andy Marshall, and Patrick Maginnity

Page 2: Doing a Volume Business in Liver Transplants Wall Street Journal Article Presentation

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.

Page 3: Doing a Volume Business in Liver Transplants Wall Street Journal Article Presentation

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.

Page 4: Doing a Volume Business in Liver Transplants Wall Street Journal Article Presentation

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

Page 5: Doing a Volume Business in Liver Transplants Wall Street Journal Article Presentation

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

Page 6: Doing a Volume Business in Liver Transplants Wall Street Journal Article Presentation

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.

Page 7: Doing a Volume Business in Liver Transplants Wall Street Journal Article Presentation

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

Page 8: Doing a Volume Business in Liver Transplants Wall Street Journal Article Presentation

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

Page 9: Doing a Volume Business in Liver Transplants Wall Street Journal Article Presentation

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.

Page 10: Doing a Volume Business in Liver Transplants Wall Street Journal Article Presentation