Dynamic Challenges Inhibiting Optimal Adoption of Kidney Paired Donation: Findin

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Dynamic Challenges Inhibiting Optimal Adoption of Kidney Paired Donation: Findings of a Consensus Conference

M. L. Melcher1, C. D. Blosser2, L. A. Baxter-Lowe3, F. L. Delmonico4,5, S. E. Gentry6, R. Leishman7, G. A. Knoll8, M. S. Leffell9, A. B. Leichtman10, D. A. Mast11, P. W. Nickerson12, E. F. Reed13, M. A. Rees14, J. R. Rodrigue15, D. L. Segev16, D. Serur17, S. G. Tullius18, E. Y. Zavala19, S. Feng3,*
Article first published online: 7 FEB 2013

DOI: 10.1111/ajt.12140

No claim to original US government works Journal compilation © 2013 The American Society of Transplantation and the American Society of Transplant Surgeons
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American Journal of Transplantation
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Keywords:
Allocation;donor evaluation;finances;histocompatibility testing;kidney paired donation;nondirected donors;paired kidney exchange;transport
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 29–30, 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.

http://onlinelibrary.wiley.com/doi/10.1111/ajt.12140/abstract