'List diving' skips top candidates awaiting donor kidneys, reveals new research ColumbiaMed jamanetworkopen
This study examined deceased donor kidney match-runs at 11 one-to-one transplant centers without any other centers eligible for their local donor organs from 2015 to 2019. We describe how frequently kidneys were transplanted into the candidate with the highest priority on the waiting list identified by the allocation algorithm vs transplanted at the discretion of the center into a candidate ranked lower on the waiting list.
We identified all kidney transplant centers with a 1-to-1 relationship with their organ procurement organization and no other centers within their donation service area. Using potential transplant recipient match-run data from 2015 to 2019, we identified all match-runs at OPOs associated with 1-to-1 centers where at least 1 kidney was transplanted locally . SRTR program-specific reports from June 2016 to June 2020 provided annual center-level transplant and waiting list volume.
We compared donor characteristics for kidneys transplanted into candidates with highest vs lower rank. Race and ethnicity were included as categorized in the SRTR transplant registry from the data reported by transplant centers at the time of candidate registration and categorized as Asian, Black, other or multiracial, and White, and ethnicity was categorized as Hispanic or non-Hispanic.
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