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New Challenges in Multihospital Kidney Exchange


  • Itai Ashlagi
  • Alvin E. Roth


The growth of kidney exchange presents new challenges for the design of kidney exchange clearinghouses. The players now include directors of transplant centers, who see sets of patient-donor pairs, and can choose to reveal only difficult-to-match pairs to the clearinghouse, while withholding easy-to-match pairs to transplant locally. This reduces the number of transplants. We discuss how the incentives for hospitals to enroll all pairs in kidney exchange can be achieved, and how the concentration of hard to match pairs increases the importance of long, non-simultaneous nondirected donor chains.

Suggested Citation

  • Itai Ashlagi & Alvin E. Roth, 2012. "New Challenges in Multihospital Kidney Exchange," American Economic Review, American Economic Association, vol. 102(3), pages 354-359, May.
  • Handle: RePEc:aea:aecrev:v:102:y:2012:i:3:p:354-59

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    References listed on IDEAS

    1. Tayfun Sönmez & Alvin E. Roth & M. Utku Ünver, 2007. "Efficient Kidney Exchange: Coincidence of Wants in Markets with Compatibility-Based Preferences," American Economic Review, American Economic Association, vol. 97(3), pages 828-851, June.
    2. Roth, Alvin E. & Sonmez, Tayfun & Unver, Utku & Delmonico, Francis & Saidman, Susan L., 2014. "Utilizing List Exchange and Non-directed Donation through “Chain” Paired Kidney Donations," MPRA Paper 58246, University Library of Munich, Germany.
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    Cited by:

    1. Nicolò, Antonio & Rodríguez-Álvarez, Carmelo, 2017. "Age-based preferences in paired kidney exchange," Games and Economic Behavior, Elsevier, vol. 102(C), pages 508-524.
    2. Glorie, K.M. & Wagelmans, A.P.M. & van de Klundert, J.J., 2012. "Iterative branch-and-price for hierarchical multi-criteria kidney exchange," Econometric Institute Research Papers EI 2012-11, Erasmus University Rotterdam, Erasmus School of Economics (ESE), Econometric Institute.
    3. Bettina Klaus & David F. Manlove & Francesca Rossi, 2014. "Matching under Preferences," Cahiers de Recherches Economiques du Département d'Econométrie et d'Economie politique (DEEP) 14.07, Université de Lausanne, Faculté des HEC, DEEP.

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