How donor kidneys are allocated to waiting patients isn't as straightforward as it might seem.
, your weekly dose of commentary on a new medical study. I'm Dr F. Perry Wilson of the Yale School of Medicine.
, with 3000 new patients being added per month. There are only 25,000 kidney transplants per year. And each year, around 5000 people die while waiting for a transplant. Most OPOs have multiple transplant centers in them, and each center is going to prioritize its own patients. If a Yale patient is #1 on the list and a kidney offer comes in, it would be a good idea for us to accept, because if we reject the offer, the organ may go to a competing center whose patients is ranked #2.But 11 OPOs around the country are served by only one center.
Interestingly, this practice may not be limited to those cases where the OPO has only one transplant center. Conducting the same analysis across all 231 kidney transplant centers in the US, the authors found that the top candidate was skipped 76% of the time.
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