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Dynamic Challenges Inhibiting Optimal Adoption of Kidney Paired Donation: Findings of a Consensus Conference
Author(s) -
Melcher M. L.,
Blosser C. D.,
BaxterLowe 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.
Publication year - 2013
Publication title -
american journal of transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.89
H-Index - 188
eISSN - 1600-6143
pISSN - 1600-6135
DOI - 10.1111/ajt.12140
Subject(s) - medicine , donation , best practice , consensus conference , kidney transplant , kidney donation , kidney transplantation , public relations , transplantation , surgery , political science , law
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.