The dynamics of deceased donor kidney transplant decision making: insights from studying individual clinicians' offer decisions.

ABSTRACT: Despite the high demand, >7500 recovered kidneys annually go unused, with transplant centers showing significant variation in their offer acceptance practices. However, it remains unclear how much of this variation occurs between individual clinicians within the same center and its impact on allocation efficiency and equity. This study quantified the variability in kidney offer acceptance decisions attributable to clinicians vs centers and examined the role of donor quality in acceptance decisions. We analyzed national transplant registry data (from January 2016 to December 2020) linked to on-call records from 15 transplant centers, creating a clinician-level data set with 344 678 deceased donor kidney offers. The primary outcome was the variability in offer acceptance attributable to clin

SUBMITTER: Green E 

PROVIDER: S-EPMC12221801 | biostudies-literature | 2025 Jul

REPOSITORIES: biostudies-literature