Evaluating multiple living kidney donor candidates simultaneously is more cost-effective than sequentially

Recorded live on Monday, November 2, 2020, from 4:00 PM ET to 5:00 PM ET • Hosted by the AST Live Donor Community of Practice

"Evaluating multiple living kidney donor candidates simultaneously is more cost-effective than sequentially."
(Kidney International. doi.org/10.1016/j.kint.2020.06.015)

In this article:
When multiple living donor candidates come forward to donate a kidney to the same recipient, some living donor programs evaluate one candidate at a time to avoid unnecessary evaluations. Evaluating multiple candidates concurrently rather than sequentially may be cost-effective from a societal perspective if it reduces the time recipients spend on dialysis. [The authors] used a simple decision tree to estimate the cost-effectiveness of evaluating two to four candidates simultaneously rather than sequentially as potential kidney donors for the same intended recipient...[and found that] living donor programs should consider evaluating up to four living donor candidates simultaneously when they come forward for the same recipient as health care system costs incurred are more than offset by avoided dialysis costs.

Steven Habbous, PhD • Western University, London, ON
Amit Garg, MD, PhD • Western University, London, ON

Krista Lentine, MD, PhD • Saint Louis University Transplant Center, Saint Louis, MO
Neekita Garg, MD • University of Wisconsin-Madison, Madison, WI

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