Northwestern University Transplant Outcomes Research Collaboration

 

The NU Transplant Outcomes Research Collaboration aims to build upon the existing research and clinical strengths of the members to create a multidisciplinary, cooperative, research group that will focus on health services and outcomes research related to all aspects of organ transplantation. Though this academic alignment between otherwise seemingly disparate disciplines, high impact innovation will occur.

The Northwestern University Transportation Outcomes Research Collaborative (NUTORC) is an inter-school, multi-departmental and transdisciplinary team of investigators that includes collaborators from Northwestern University’s Feinberg School of Medicine, McCormick School of Engineering, Kellogg School of Management, the Center for Healthcare Studies, and the Department of Medical Social Sciences. Additionally, NUTORC has partnered with experts from Brandeis University and University of Chicago.

Teams typically include clinicians (who help formulate the particular need), health services and outcomes researchers (who frame the need for information in the context of the potential impact on outcomes), and investigators with specific knowledge and expertise in state-of-the-art research methodologies (who formulate the experimental design/approach necessary to assess/address the substance of the information/data). These teams are often composed of investigators with disparate backgrounds, experience and expertise and therefore significant effort is requires at the front end of these initiatives to familiarize all the team members with the specifics of the project. Once this initial investment of time and effort is made, the conversation between team members becomes increasingly productive so that what may have started out as a simple need for information becomes a fertile ground for future investigation.

 

News & Events

Brendan Lovasik, BS, a student who has been working with NUTORC for the last year just received a Fulbright Award to study transplant policy in Europe.  Read more about it here

Research and Awards:

R01Grant: A2ALL- Patient Safety System Improvements in Living Donor Liver Transplantation.
Funded by National Institutes of Health and National Institute of Diabetes and Digestive and Kidney Diseases
Principal Investigators: Daniela Ladner, MD and Donna Woods, EdM, PhD

R03 Grant: Quality of Informed Consent for Adult-to-Adult Living Donor Liver Transplantation Funded by National Institute of Diabetes and Digestive and Kidney Disease & National Institute of Allergy and Infectious Diseases
Principal Investigator: Elisa Gordon, PhD

Recent Publications:

Gordon EJ, Bergeron A, McNatt G, Friedewald J, Wolf MS, Abecassis MM. Are Informed Consent Forms for Organ Transplantation and Donation Too Difficult to Read? Clinical Transplantation. 2011; In Press.

Lora C, Gordon EJ, Sharp LK, Fischer MJ, Gerber BS, Lash J.  Progression of Chronic Kidney Disease in Hispanics: Potential Roles of Health Literacy, Acculturation, and Social Support. American Journal of Kidney Diseases 2011; In press.

Skaro A, Wang E, Lyuksemburg V, Kang R, Feinglass J, Holl, J, Abercassis M. A Comprehensive Risk Assessment of Mortality Following Donation after Cardiac Death Liver Transplant - An Analysis of the National Registry.  Journal of Hepatology. 2011(In Press). PMID: 21338639.

Robinson JK, Turrisi R, Mallett KA, Stapleton J, Boone SL, Kim N, Riyat NV, Gordon EJ. Efficacy of an Educational Intervention With Kidney Transplant Recipients to Promote Skin Self-examination for Squamous Cell Carcinoma Detection. Archives of Dermatology.2011(In Press).  PMID: 21339418.

Gordon EJ, Lash JP. A Timely Change in CKD Delivery: Promoting Patient Education. American Journal of Kidney Diseases. 2011;57(3):375-7.  PMID: 21335248.

Jay CL, Lyuksemburg V, Ladner DP, Wang E, Caicedo JC, Holl JL, Abecassis MM, Skaro AI. Ischemic Cholangiopathy After Controlled Donation After Cardiac Death Liver Transplantation: A Meta-analysis. Annals of Surgery. 2011;253(2):259-64. PMID: 21245668.

 

NUTORC Workgroups

Transplantation Communication
The Transplantation Communication Workgroup (TCW) is a collaboration of Northwestern University faculty from the Center for Healthcare Studies and the Division of Organ Transplantation. The TCW focuses on research to advance scientific knowledge of the role of the communication process in organ donation and transplantation. Communication between candidates, recipients, donors and the transplant team is complex, compounded by unknown risks, and fraught with ethical concerns. The communication process is shaped in large part by socio-cultural factors and power dynamics; therefore, facilitating communication can help reduce disparities. Our group examines issues including health literacy, numeracy, and informed consent in kidney, liver and other organ systems. By describing current practices, constructing measures to assess knowledge, and developing innovative interventions to improve communication, the TCW strives to improve donor and recipient decision-making, ensure ethically sound clinical practice, and ultimately improve long-term health outcomes.

Transplantation Quality of Life
Quality of life (QOL) is a multi-dimensional concept that refers to an individual’s usual or expected physical, emotional, and social well-being. Similarly, health-related QOL refers to the subjective experience and well-being of a patient as impacted by a medical condition or its treatment, often assessed by the patient’s self-report using standardized questionnaires. At its broadest, QOL encompasses not only disease symptoms and functional consequences, but also more subjective domains such as life satisfaction, happiness, and the value that one places on life at any given time. Notably, such patient-reported outcomes are increasingly becoming emphasized in clinical trials in other areas of medicine. With increased rates of survival for many child and adult transplant populations, there is an increasing focus on the QOL of both organ recipients and live organ donors. Formal, systematic QOL assessment of patients can serve as a useful gauge of treatment success, assist in the identification of long term complications that should continue to be monitored by medical personnel, or identify potential teaching and learning moments where health promotion interventions could be implemented. The QOL Workgroup consists of collaborative group of NU investigators from the Division of Organ Transplantation, Department of Pediatrics, Department of Medical Social Sciences, Department of Medicine, and the Center for Healthcare Studies.

Transplantation Risk Assessment/Economic
The Risk Assessment/Economic Workgroup is a collaboration between the Center for Healthcare Studies, the Division of Organ Transplantation and other interested parties that focuses on research of risk assessment to determine effective predictors of outcomes in organ donation and transplantation. In addition to patient outcomes the workgroup also focuses on healthcare costs and reimbursement issues resulting from donation and transplantation from the payer, patient, and societal perspectives. We endeavor to improve donor and recipient decision-making resulting in high quality, cost-effective long-term health outcomes.

Transplantation Safety Outcomes
The objective of the Transplantation Safety Outcomes Group (TSOG) is to promote a systematic approach to the study of safety within transplantation. Moreover, the mission is to enhance the provision of care to the transplant patient through the development of a comprehensive research program which focuses on outcomes and interventions related to the safety of transplantation. Areas of focus include:

  • Identification of safety risks
  • Assessment of the effectiveness of regulatory guidelines
  • Organizational workflow optimization and safety
  • Development of safety metrics for performance measurement
  • Clinician Communication

Transplantation Database
The goal of the Transplant Database Group is to provide streamlined data for all of the NUTORC workgroups and coordinate existing transplantation data sources to allow for advances in research and data analysis.


 

 

 

 

Message from the Director
Daniela Ladner, MD MPH

Welcome to Northwestern University Transplant Outcomes Research Collaborative NUTORC.  NUTORC builds upon the existing strengths of the transplant program at Northwestern and creates inter-school, multi-departmental, and trans-disciplinary collaborative initiatives around identified needs of information in transplantation. We bring together clinicians, health services and outcomes researchers, and investigators with specific knowledge and expertise in state-of-the art research methodologies to address topical areas. Through these collaborative initiatives, investigators with disparate backgrounds perform health services and outcomes research at the intersection of knowledge between otherwise seemingly unrelated disciplines, and thereby achieves high impact innovation. 

We invite you to learn more about NUTORC and join us in our mission to define a new era in transplant outcomes research.

Sincerely,

Daniela Ladner, MD
 

Follow Us On Facebook

Contact Us:

Center for Healthcare Studies
750 N. Lake Shore Drive, 10th Floor
Chicago, IL 60611
Phone: 312-503-5500
Fax: 312-503-2777

Northwestern University home page

This page last updated 

June 28, 2012
Feinberg School of Medicine home page

CENTERS | EDUCATION | RESEARCH | COLLABORATION

Center for Healthcare Studies 
750 North Lake Shore Drive 10th Floor, Chicago, IL 60611
Phone: 312.503.5500 Fax: 312.503.2777
E-mail: contactCHS@northwestern.edu

Northwestern Home | Calendar: Plan-It Purple | Sites A-Z | Search 
World Wide Web Disclaimer and University Policy Statements  © 2010 Northwestern University