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A Nonsimultaneous, Extended, Altruistic-Donor Chain
Author(s) -
Michael Rees,
Jonathan E. Kopke,
Ronald P. Pelletier,
Dorry L. Segev,
Matthew E. Rutter,
Alfredo J. Fabrega,
Jeffrey Rogers,
O. Pankewycz,
Janet Hiller,
Alvin E. Roth,
Tüomas Sandholm,
M. Utku Ünver,
Robert A. Montgomery
Publication year - 2009
Publication title -
new england journal of medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 19.889
H-Index - 1030
eISSN - 1533-4406
pISSN - 0028-4793
DOI - 10.1056/nejmoa0803645
Subject(s) - medicine , donation , surgery , transplantation , kidney transplantation , kidney , economics , economic growth
We report a chain of 10 kidney transplantations, initiated in July 2007 by a single altruistic donor (i.e., a donor without a designated recipient) and coordinated over a period of 8 months by two large paired-donation registries. These transplantations involved six transplantation centers in five states. In the case of five of the transplantations, the donors and their coregistered recipients underwent surgery simultaneously. In the other five cases, "bridge donors" continued the chain as many as 5 months after the coregistered recipients in their own pairs had received transplants. This report of a chain of paired kidney donations, in which the transplantations were not necessarily performed simultaneously, illustrates the potential of this strategy.

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