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New Solutions to Reduce Discard of Kidneys Donated for Transplantation
Journal article   Open access   Peer reviewed

New Solutions to Reduce Discard of Kidneys Donated for Transplantation

Peter P Reese, Meera N Harhay, Peter L Abt, Matthew H Levine and Scott D Halpern
Journal of the American Society of Nephrology, v 27(4), pp 973-980
Apr 2016
PMID: 26369343
url
https://jasn.asnjournals.org/content/jnephrol/27/4/973.full.pdfView
Published, Version of Record (VoR) Open
url
https://doi.org/10.1681/ASN.2015010023View
Published, Version of Record (VoR) Open

Abstract

Humans Kidney Transplantation Medical Waste Disposal Tissue and Organ Procurement - standards Tissue and Organ Procurement - statistics & numerical data Tissue Donors
Kidney transplantation is a cost-saving treatment that extends the lives of patients with ESRD. Unfortunately, the kidney transplant waiting list has ballooned to over 100,000 Americans. Across large areas of the United States, many kidney transplant candidates spend over 5 years waiting and often die before undergoing transplantation. However, more than 2500 kidneys (>17% of the total recovered from deceased donors) were discarded in 2013, despite evidence that many of these kidneys would provide a survival benefit to wait-listed patients. Transplant leaders have focused attention on transplant center report cards as a likely cause for this discard problem, although that focus is too narrow. In this review, we examine the risks associated with accepting various categories of donated kidneys, including discarded kidneys, compared with the risk of remaining on dialysis. With the goal of improving access to kidney transplant, we describe feasible proposals to increase acceptance of currently discarded organs.

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Collaboration types
Domestic collaboration
Web of Science research areas
Urology & Nephrology
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