In Search of a Better Outcome: Opting Into the Live Donor Paired Kidney Exchange Program.

ABSTRACT:

Background

Live donor (LD) kidney transplantation is the best option for patients with end-stage kidney disease (ESKD). However, this may not be the best option if a patient's donor is older and considerably smaller in weight. Patient (A) with a less than ideal donor (Donor A) might enter into a live donor paired exchange (LDPE) program with the hopes of swapping for a better-quality organ. A second patient (B) who is in the LDPE may or may not benefit from this exchange with Donor A.

Methods

This medical decision analysis examines the conditions that favor Patient A entering into the LDPE compared to directly accepting a kidney from their intended donor, as well as the circumstances where Patient B also benefits by accepting a lower-quality organ.

Results

Under selec

SUBMITTER: Vinson AJ 

PROVIDER: S-EPMC8161848 | biostudies-literature | 2021

REPOSITORIES: biostudies-literature