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Comment
. 2025 Sep 1;185(9):1157-1158.
doi: 10.1001/jamainternmed.2025.2783.

Socioeconomic Disparities in Out-of-Sequence Placement of Deceased Donor Kidneys in the US

Sumit Mohan  1   2   3 , Miko E Yu  1   2 , Joel T Adler  4 , Lindsey M Maclay  1   2 , David C Cron  5 , Jesse D Schold  6   7 , Syed Ali Husain  1   2
Affiliations
Comment

Socioeconomic Disparities in Out-of-Sequence Placement of Deceased Donor Kidneys in the US

Sumit Mohan et al. JAMA Intern Med. .
No abstract available

Plain language summary

This cohort study examines out-of-sequence allocation of deceased donor kidney transplants in the US, and whether this leads to inequity in the allocation of kidneys compared with standard policy.

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Conflict of interest statement

Conflict of Interest Disclosures: Dr Mohan reported receiving personal fees from Sanofi, Health Services Advisory Group, Kidney International Reports, DEKA Research & Development, and Specialist Direct; grants from the National Institutes of Health’s (NIH) National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) and Kidney Transplant Collaborative; being chair of the United Network for Organ Sharing (UNOS) data advisory committee; and being a board member of the Organ Donation and Transplantation Alliance outside the submitted work. Dr Adler reported receiving personal fees from Tegus outside the submitted work. Dr Schold reported being a consultant for eGenesis and Sanofi; being the chair of the data advisory committee of UNOS; receiving nonfinancial support as a member of the scientific review committee of Scientific Registry of Transplant Recipients; grants from Gift of Life Foundation, Kidney Transplant Collaborative, OneLegacy Foundation, US Department of Defense, and NIH/NIDDK; honoraria from eGenesis and Sanofi; and being a member of the data and safety monitoring board of Bristol Myers Squibb and the speakers bureau of Sanofi during the conduct of the study. Dr Husain reported receiving grants from NIDDK; and being a member of the transplant advisory council of the National Kidney Foundation during the conduct of the study. No other disclosures were reported.

Comment on

References

    1. King KL, Husain SA, Perotte A, Adler JT, Schold JD, Mohan S. Deceased donor kidneys allocated out of sequence by organ procurement organizations. Am J Transplant. 2022;22(5):1372-1381. doi: 10.1111/ajt.16951 - DOI - PMC - PubMed
    1. Cron DC, Husain SA, King KL, Mohan S, Adler JT. Increased volume of organ offers and decreased efficiency of kidney placement under circle-based kidney allocation. Am J Transplant. 2023;23(8):1209-1220. doi: 10.1016/j.ajt.2023.05.005 - DOI - PMC - PubMed
    1. Mohan S, Yu M, King KL, Husain SA. Increasing discards as an unintended consequence of recent changes in United States kidney allocation policy. Kidney Int Rep. 2023;8(5):1109-1111. doi: 10.1016/j.ekir.2023.02.1081 - DOI - PMC - PubMed
    1. Mohan S, Chiles MC. Achieving equity through reducing variability in accepting deceased donor kidney offers. Clin J Am Soc Nephrol. 2017;12(8):1212-1214. doi: 10.2215/CJN.06220617 - DOI - PMC - PubMed
    1. King KL, Chaudhry SG, Ratner LE, Cohen DJ, Husain SA, Mohan S. Declined offers for deceased donor kidneys are not an independent reflection of organ quality. Kidney360. 2021;2(11):1807-1818. doi: 10.34067/KID.0004052021 - DOI - PMC - PubMed

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