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4%, P = .01; third in the nation). OE ratio was higher in Mexico states outside the MAVM (CDMX 10.1, 2.1 vs 29.4, 26.5; P = .009). CONCLUSIONS Analysis of deceased donation and transplantation of Mexican states without considering the metropolitan areas is insufficient. To consider CDMX as a region without acknowledging the MAVM leads to an inappropriately small denominator during efficiency analysis. BACKGROUND Transplantation depends on a donation from a living or deceased donor, with the latter ideally involving a multiorgan transpl
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