Attitudes of Lay Stakeholders and Transplant Professionals About Disclosure to Living Kidney Donors in Exchanges and Chains

Grubbs, Allison; Meadow, Jaqueline; Thistlethwaite, J. Richard; Ross, Lainie Friedman

doi:10.1177/1526924816663515

Cited by 1 publication

(1 citation statement)

References 22 publications

(35 reference statements)

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“…The standard practice in the developed world is anonymous allocation for kidney exchange [20][21][22][23][24][25][26][27][28][29][30]. However, we practice non-anonymous allocation to increase trust and transparency among the hospital team and the DRPs [13,14].…”

Section: Non-anonymous Allocationmentioning

confidence: 99%

Non‐simultaneous kidney exchange cycles in resource‐restricted countries without non‐directed donation – a prospective single‐center cohort study

Kute¹,

Patel²,

Modi

et al. 2021

Transpl Int

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Summary Recent reports suggest that bridge–donor reneging is rare (1.5%) in non‐simultaneous kidney exchange chains. However, in developing countries, the non‐directed donors who would be needed to initiate chains are unavailable, and furthermore, limited surgical space and resources restrain the feasibility of simultaneous kidney exchange cycles. Therefore, the aim of this study was to evaluate the bridge–donor reneging rate during non‐simultaneous kidney exchange cycles (NSKEC) in a prospective single‐center cohort study (n = 67). We describe the protocol used to prepare co‐registered donor–recipient pairs for non‐simultaneous surgeries, in an effort to minimize the reneging rate. In addition, in order to protect any recipients who might be left vulnerable by this arrangement, we proposed the use of standard criteria deceased‐donor kidneys to rectify the injustice in the event of any bridge–donor reneging. We report 17 successful NSKEC resulting in 67 living‐donor kidney transplants (LDKT) using 23 bridge–donors without donor renege and no intervening pairs became unavailable. We propose that NSKEC could increase LDKT, especially for difficult‐to‐match sensitized pairs (25 of our 67 pairs) in countries with limited transplantation resources. Our study confirms that NSKEC can be safely performed with careful patient–donor selection and non‐anonymous kidney exchanges.

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Section: Non-anonymous Allocationmentioning

confidence: 99%

Non‐simultaneous kidney exchange cycles in resource‐restricted countries without non‐directed donation – a prospective single‐center cohort study

Kute¹,

Patel²,

Modi

et al. 2021

Transpl Int

View full text Add to dashboard Cite

show abstract

Attitudes of Lay Stakeholders and Transplant Professionals About Disclosure to Living Kidney Donors in Exchanges and Chains

Abstract: There is broad stakeholder support for disclosing some health and health behavior information to donors about their exchange/chain donors and recipients.

Cited by 1 publication

References 22 publications

Non‐simultaneous kidney exchange cycles in resource‐restricted countries without non‐directed donation – a prospective single‐center cohort study

Non‐simultaneous kidney exchange cycles in resource‐restricted countries without non‐directed donation – a prospective single‐center cohort study

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