Vouchers for Future Kidney Transplants to Overcome “Chronological Incompatibility” Between Living Donors and Recipients
- 1 September 2017
- journal article
- case report
- Published by Ovid Technologies (Wolters Kluwer Health) in Transplantation
- Vol. 101 (9), 2115-2119
- https://doi.org/10.1097/tp.0000000000001744
Abstract
The waiting list for kidney transplantation is long and growing. The creation of “vouchers” for future kidney transplants enables living donation to occur when optimal for the donor and transplantation to occur later, when and if needed by the recipient. The donation of a kidney at a time that is optimal for the donor generates a ‘voucher’ that only a specified recipient may redeem later when needed. The voucher provides the recipient with priority in being matched with a living donor from the end of a future transplantation chain. Besides its use in persons of advancing age with a limited window for donation, vouchers remove a disincentive to kidney donation, namely, a reluctance to donate now lest one’s family member should need a transplant in the future. We describe the first 3 voucher cases, in which advancing age might otherwise have deprived the donors the opportunity to provide a kidney to a family member. These 3 voucher donations functioned in a nondirected fashion and triggered 25 transplants through kidney paired donation across the United States. The provision of a voucher to potential recipients whose need for a transplant makes them “chronologically incompatible” with their donors may increase the number of living donor transplants.This publication has 10 references indexed in Scilit:
- The White House Organ Summit: What It Means for Our FieldAmerican Journal of Transplantation, 2016
- The Incorporation of an Advanced Donation Program Into Kidney Paired Exchange: Initial Experience of the National Kidney RegistryAmerican Journal of Transplantation, 2015
- Kidney Transplant Chains Amplify Benefit of Nondirected DonorsJAMA Surgery, 2013
- Chain Transplantation: Initial Experience of a Large Multicenter ProgramAmerican Journal of Transplantation, 2012
- Living Donor Kidney Donation in the United States: Quo Vadis?American Journal of Transplantation, 2010
- Asynchronous, Out-of-Sequence, Transcontinental Chain Kidney Transplantation: A Novel ConceptAmerican Journal of Transplantation, 2009
- The Roles of Dominos and Nonsimultaneous Chains in Kidney Paired DonationAmerican Journal of Transplantation, 2009
- A Nonsimultaneous, Extended, Altruistic-Donor ChainThe New England Journal of Medicine, 2009
- Kidney Paired Donation and Optimizing the Use of Live Donor OrgansJAMA, 2005
- Comparison of Mortality in All Patients on Dialysis, Patients on Dialysis Awaiting Transplantation, and Recipients of a First Cadaveric TransplantThe New England Journal of Medicine, 1999