Dynamic Challenges Inhibiting Optimal Adoption of Kidney Paired Donation: Findings of a Consensus Conference. Issue 4 (7th February 2013)

• Record Type: Journal Article
• Authors: Melcher, M. L.; Blosser, C. D.; Baxter‐Lowe, L. A.; Delmonico, F. L.; Gentry, S. E.; Leishman, R.; Knoll, G. A.; Leffell, M. S.; Leichtman, A. B.; Mast, D. A.; Nickerson, P. W.; Reed, E. F.; Rees, M. A.; Rodrigue, J. R.; Segev, D. L.; Serur, D.; Tullius, S. G.; Zavala, E. Y.; Feng, S.
• Is Part Of: American journal of transplantation. Volume 13:Issue 4(2013:Apr.)
• Page Start: 851
• Page End: 860
• Publication Date: 2013-02-07
• Subjects: Allocation -- donor evaluation -- finances -- histocompatibility testing -- kidney paired donation -- nondirected donors -- paired kidney exchange -- transport; Transplantation of organs, tissues, etc -- Periodicals; 617.95
• DOI: 10.1111/ajt.12140
• Languages: English
• ISSNs: 1600-6135

Abstract

Abstract : 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. Abstract : The authors present a report from a consensus conference that aimed to identify and address the full spectrum of theoretical and practical obstacles that have hindered the optimal implementation of kidney paired donation in the United States.