Involving Patients in the Cadaveric Kidney Transplant Allocation Process: A Decision-Theoretic Perspective
AbstractThe United Network for Organ Sharing system of allocating cadaveric kidneys for transplantation permits only minimal involvement of patients in the selection process. The system ignores potential variations in the importance that patients may attach to outcomes associated with the transplant decision. For instance, some patients may prefer only kidneys that will give them a very favorable chance to achieve a successful transplant. We designed a decision model in which patients are surveyed about their preferences for health states that in turn affect decisions about the type of donor kidneys that would be acceptable for transplantation. Our analyses show that patients with favorable transplant characteristics (e.g., young age, good health, good immunologic match between the donor kidney and the recipient) or who expect a minimal improvement in quality of life after successful transplantation can afford to be selective when considering which kidneys to accept for transplantation. Involving patients in selecting the optimal donor-kidney should improve patients' quality and duration of life with end-stage renal disease, and thereby improve the overall efficiency of the U.S. kidney transplantation program.
Download InfoIf you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
Bibliographic InfoArticle provided by INFORMS in its journal Management Science.
Volume (Year): 42 (1996)
Issue (Month): 5 (May)
kidney dialysis; kidney transplantation; decision analysis; action-timing problems;
You can help add them by filling out this form.
CitEc Project, subscribe to its RSS feed for this item.
- Levy, Amnon, 2003.
"A Decision Rule for Transplanting Non-Cadaveric Organs,"
Economics Working Papers
wp03-13, School of Economics, University of Wollongong, NSW, Australia.
- Levy, Amnon, 2005. "A decision-rule for transplanting non-cadaveric organs," European Journal of Operational Research, Elsevier, vol. 164(2), pages 548-554, July.
- Howard, David H., 2002. "Why do transplant surgeons turn down organs?: A model of the accept/reject decision," Journal of Health Economics, Elsevier, vol. 21(6), pages 957-969, November.
- Murat Kurt & Mark S. Roberts & Andrew J. Schaefer & M. Utku Ünver, 2011. "Valuing Prearranged Paired Kidney Exchanges: A Stochastic Game Approach," Boston College Working Papers in Economics 785, Boston College Department of Economics, revised 14 Oct 2011.
- Ahn, Jae-Hyeon & Kim, John J., 1998. "Action-timing problem with sequential Bayesian belief revision process," European Journal of Operational Research, Elsevier, vol. 105(1), pages 118-129, February.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Mirko Janc).
If references are entirely missing, you can add them using this form.