Journal
AMERICAN JOURNAL OF TRANSPLANTATION
Volume 13, Issue 4, Pages 851-860Publisher
WILEY-BLACKWELL
DOI: 10.1111/ajt.12140
Keywords
Allocation; donor evaluation; finances; histocompatibility testing; kidney paired donation; nondirected donors; paired kidney exchange; transport
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Funding
- AHRQ HHS [R18 HS020610] Funding Source: Medline
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While kidney paired donation (KPD) enables the utilization of living donor kidneys from healthy and willing donors incompatible with their intended recipients, the strategy poses complex challenges that have limited its adoption in United States and Canada. A consensus conference was convened March 2930, 2012 to address the dynamic challenges and complexities of KPD that inhibit optimal implementation. Stakeholders considered donor evaluation and care, histocompatibility testing, allocation algorithms, financing, geographic challenges and implementation strategies with the goal to safely maximize KPD at every transplant center. Best practices, knowledge gaps and research goals were identified and summarized in this document.
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