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Utilizing list exchange and nondirected donation through 'chain' paired kidney donations

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Version 1 2019-07-22, 10:39
journal contribution
posted on 2024-06-03, 20:34 authored by AE Roth, T Sönmez, Utku UnverUtku Unver, FL Delmonico, SL Saidman
In a list exchange (LE), the intended recipient in an incompatible pair receives priority on the deceased donor waitlist (DD-waitlist) after the paired incompatible donor donates a kidney to a DD-waitlist candidate. A nondirected donor's (ND-D) kidney is usually transplanted directly to a DD-waitlist candidate. These two established practices would help even more transplant candidates if they were integrated with kidney paired donation (KPD). We consider a scenario in which the donor of an LE intended recipient (LE-IR) donates to a compatible KPD intended recipient (KPD-IR), and the KPD donor (KPD-D) donates to the waitlist (an LE-chain). We consider a similar scenario in which an ND-D donates to a KPD-IR and the KPD-D donates to the DD-waitlist (an ND-chain). Using data derived from the New England Program for Kidney Exchange (NEPKE) and from OPTN/SRTR recipient-donor distributions, simulations are presented to evaluate the potential impact of chain exchanges coordinated with KPD. LE donors (LE-D) and ND-D who are ABO-O result in the highest number of additional transplants, while results for ABO-A and B donors are similar to each other. We recommend that both LE and ND donations be utilized through chain exchanges. © 2006 The Authors.

History

Journal

American journal of transplantation

Volume

6

Pagination

2694-2705

Location

Chichester, Eng.

Open access

  • Yes

ISSN

1600-6135

eISSN

1600-6143

Language

eng

Publication classification

C1.1 Refereed article in a scholarly journal

Issue

11

Publisher

Wiley

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