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Editorial
. 2023 Aug 9;15(8):e43223.
doi: 10.7759/cureus.43223. eCollection 2023 Aug.

The Art and Science of Kidney Transplant Offer Evaluation

Nikhil A Reddy  1 , Ashraf I Reyad  2 , Sridhar R Allam  3
Affiliations
Editorial

The Art and Science of Kidney Transplant Offer Evaluation

Nikhil A Reddy et al. Cureus. .

Abstract

Currently, there are more than 100,000 patients on the transplant waitlist in the United States. There exists a significant gap between the supply and demand for kidney transplants. Despite this, about a quarter of kidneys recovered from deceased donors are not being utilized. There is a significant variation in kidney acceptance criteria by transplant centers. The current kidney allocation system allows transplant centers to place kidneys into appropriate recipients who may not be at the top of the list to increase organ utilization. A recent study questioned this practice of "list diving." In this editorial, we seek to support "list diving" through a discussion of the various factors a transplant center could take into consideration while evaluating organ offers.

Keywords: kidney allocation system; kidney donation; kidney donor profile index; kidney transplant; organ utilization.

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Conflict of interest statement

The authors have declared financial relationships, which are detailed in the next section.

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