Increasing Discards as an Unintended Consequence of Recent Changes in United States Kidney Allocation Policy

Sumit Mohan^{1

2

3}, Miko Yu^{1

2}, Kristen L King^{1

2}, S Ali Husain^{1

2}

Affiliations

¹ Division of Nephrology, Department of Medicine, Vagelos College of Physicians and Surgeons, Columbia University, New York, New York, USA.
² Columbia University Renal Epidemiology Group, New York, New York.
³ Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, New York, USA.

Sumit Mohan et al. Kidney Int Rep. 2023.

. 2023 Feb 25;8(5):1109-1111.

doi: 10.1016/j.ekir.2023.02.1081. eCollection 2023 May.

Sumit Mohan^{1

2

3}, Miko Yu^{1

2}, Kristen L King^{1

2}, S Ali Husain^{1

2}

¹ Division of Nephrology, Department of Medicine, Vagelos College of Physicians and Surgeons, Columbia University, New York, New York, USA.
² Columbia University Renal Epidemiology Group, New York, New York.
³ Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, New York, USA.

No abstract available

Keywords: deceased donor discards; kidney allocation; kidney transplant.

Figures

1. Wolfe R.A., Ashby V.B., Milford E.L., et al. Comparison of mortality in all patients on dialysis, patients on dialysis awaiting transplantation, and recipients of a first cadaveric transplant. N Engl J Med. 1999;341:1725–1730. doi: 10.1056/NEJM199912023412303. - DOI - PubMed
1. Aubert O., Reese P.P., Audry B., et al. Disparities in acceptance of deceased donor kidneys between the United States and France and estimated effects of increased US acceptance. JAMA Intern Med. 2019;179:1365–1374. doi: 10.1001/jamainternmed.2019.2322. - DOI - PMC - PubMed
1. ESRD treatment choices (ETC) model. Centers for Medicare & Medicaid Services. https://innovation.cms.gov/innovation-models/esrd-treatment-choices-model
1. Klarman S.E., Formica R.N., Jr. The broader sharing of deceased donor kidneys is an ethical and legal imperative. J Am Soc Nephrol. 2020;31:1174–1176. doi: 10.1681/ASN.2020020121. - DOI - PMC - PubMed
1. Adler J.T., Husain S.A., King K.L., Mohan S. Greater complexity and monitoring of the new Kidney Allocation System: implications and unintended consequences of concentric circle kidney allocation on network complexity. Am J Transplant. 2021;21:2007–2013. doi: 10.1111/ajt.16441. - DOI - PubMed