Header

UZH-Logo

Maintenance Infos

Vouchers for future kidney transplants to overcome “chronological incompatibility” between living donors and recipients


Veale, Jeffrey L; Capron, Alexander M; Nassiri, Nima; Danovitch, Gabriel; Gritsch, H. Albin; Waterman, Amy; Del Pizzo, Joseph; Hu, Jim C; Pycia, Marek; McGuire, Suzanne; Charlton, Marian; Kapur, Sandip (2017). Vouchers for future kidney transplants to overcome “chronological incompatibility” between living donors and recipients. Transplantation, 101(9):2115-2119.

Abstract

Background: The waiting list for kidney transplantation is long. The creation of “vouchers” for future kidney transplants enables living donation to occur when optimal for the donor and transplantation to occur later, when and if needed by the recipient.
Methods: The donation of a kidney at a time that is optimal for the donor generates a “voucher” that only a specified recipient may redeem later when needed. The voucher provides the recipient with priority in being matched with a living donor from the end of a future transplantation chain. Besides its use in persons of advancing age with a limited window for donation, vouchers remove a disincentive to kidney donation, namely, a reluctance to donate now lest one’s family member should need a transplant in the future.
Results: We describe the first three voucher cases, in which advancing age might otherwise have deprived the donors the opportunity to provide a kidney to a family member. These 3 voucher donations functioned in a nondirected fashion and triggered 25 transplants through kidney paired donation across the United States.
Conclusions: The provision of a voucher to potential recipients whose need for a transplant makes them “chronologically incompatible” with their donors may increase the number of living donor transplants.

Abstract

Background: The waiting list for kidney transplantation is long. The creation of “vouchers” for future kidney transplants enables living donation to occur when optimal for the donor and transplantation to occur later, when and if needed by the recipient.
Methods: The donation of a kidney at a time that is optimal for the donor generates a “voucher” that only a specified recipient may redeem later when needed. The voucher provides the recipient with priority in being matched with a living donor from the end of a future transplantation chain. Besides its use in persons of advancing age with a limited window for donation, vouchers remove a disincentive to kidney donation, namely, a reluctance to donate now lest one’s family member should need a transplant in the future.
Results: We describe the first three voucher cases, in which advancing age might otherwise have deprived the donors the opportunity to provide a kidney to a family member. These 3 voucher donations functioned in a nondirected fashion and triggered 25 transplants through kidney paired donation across the United States.
Conclusions: The provision of a voucher to potential recipients whose need for a transplant makes them “chronologically incompatible” with their donors may increase the number of living donor transplants.

Statistics

Citations

Dimensions.ai Metrics
3 citations in Web of Science®
4 citations in Scopus®
7 citations in Microsoft Academic
Google Scholar™

Altmetrics

Downloads

2 downloads since deposited on 09 Feb 2018
2 downloads since 12 months
Detailed statistics

Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:03 Faculty of Economics > Department of Economics
Dewey Decimal Classification:330 Economics
Language:English
Date:2017
Deposited On:09 Feb 2018 09:18
Last Modified:01 Sep 2018 00:10
Publisher:Lippincott Williams & Wilkins
ISSN:0041-1337
OA Status:Green
Publisher DOI:https://doi.org/10.1097/TP.0000000000001744

Download

Download PDF  'Vouchers for future kidney transplants to overcome “chronological incompatibility” between living donors and recipients'.
Preview
Content: Published Version
Filetype: PDF
Size: 249kB
View at publisher