Domino kidney paired donation (KPD) is a method by which an altruistic living nondirected donor (LND) isOne-year and 5-year graft survival rates were 98.3% and 87.7%, respectively, with a median followup of 46 months. One-year and 5-year patient survival rates were 97.2% and 90.8%, respectively. In conclusion, multicenter domino KPD could multiply the benefits of donation from LNDs, with patients and graft survival rates comparable to those seen with conventional KPD.

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