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Improving the Availability of Unrelated Stem Cell Donors: Evidence from a Major Donor Registry

Author

Listed:
  • Michael Haylock
  • Patrick Kampkötter
  • Mario Macis
  • Jürgen Sauter
  • Susanne Seitz
  • Robert Slonim
  • Daniel Wiesen
  • Alexander H. Schmidt

Abstract

The unavailability of potential stem cell donors poses a critical challenge for donor registries worldwide. This study investigates the impact of initiatives of a stem cell donor registry to enhance donors' availability for confirmatory typing. Initiatives ask donors to provide a sample for genetic analysis and/or information on their temporal unavailability. We analyzed 91,479 confirmatory typing requests from DKMS Germany, a large stem cell donor registry, exploiting a quasi-random initiative assignment based on observable characteristics. We find that, first, invitation to the initiatives increases donors' availability. Intention-to-treat estimates yield effects ranging from 2.5 to 3.2 percentage points, and local average treatment effects estimates range from 3.8 to 8.2 percentage points (baseline: 77.1%). Second, the difference in availability between participants and non-participants is over 10 percentage points. The initiatives yield a direct positive effect on donor availability and a selection effect through which participation signals a higher commitment.

Suggested Citation

  • Michael Haylock & Patrick Kampkötter & Mario Macis & Jürgen Sauter & Susanne Seitz & Robert Slonim & Daniel Wiesen & Alexander H. Schmidt, 2022. "Improving the Availability of Unrelated Stem Cell Donors: Evidence from a Major Donor Registry," NBER Working Papers 29857, National Bureau of Economic Research, Inc.
  • Handle: RePEc:nbr:nberwo:29857
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    References listed on IDEAS

    as
    1. Goette, Lorenz & Stutzer, Alois, 2020. "Blood donations and incentives: Evidence from a field experiment," Journal of Economic Behavior & Organization, Elsevier, vol. 170(C), pages 52-74.
    2. Nicola Lacetera & Mario Macis & Robert Slonim, 2012. "Will There Be Blood? Incentives and Displacement Effects in Pro-social Behavior," American Economic Journal: Economic Policy, American Economic Association, vol. 4(1), pages 186-223, February.
    3. Emily Oster, 2019. "Unobservable Selection and Coefficient Stability: Theory and Evidence," Journal of Business & Economic Statistics, Taylor & Francis Journals, vol. 37(2), pages 187-204, April.
    4. Ashley C. Craig & Ellen Garbarino & Stephanie A. Heger & Robert Slonim, 2017. "Waiting To Give: Stated and Revealed Preferences," Management Science, INFORMS, vol. 63(11), pages 3672-3690, November.
    5. Imbens, Guido W & Angrist, Joshua D, 1994. "Identification and Estimation of Local Average Treatment Effects," Econometrica, Econometric Society, vol. 62(2), pages 467-475, March.
    6. Wildman, John & Hollingsworth, Bruce, 2009. "Blood donation and the nature of altruism," Journal of Health Economics, Elsevier, vol. 28(2), pages 492-503, March.
    7. Theodore C. Bergstrom & Rodney J. Garratt & Damien Sheehan-Connor, 2009. "One Chance in a Million: Altruism and the Bone Marrow Registry," American Economic Review, American Economic Association, vol. 99(4), pages 1309-1334, September.
    8. Alois Stutzer & Lorenz Goette & Michael Zehnder, 2011. "Active Decisions and Prosocial Behaviour: a Field Experiment on Blood Donation," Economic Journal, Royal Economic Society, vol. 121(556), pages 476-493, November.
    9. Robert Slonim & Carmen Wang & Ellen Garbarino, 2014. "The Market for Blood," Journal of Economic Perspectives, American Economic Association, vol. 28(2), pages 177-196, Spring.
    10. James Heckman, 1997. "Instrumental Variables: A Study of Implicit Behavioral Assumptions Used in Making Program Evaluations," Journal of Human Resources, University of Wisconsin Press, vol. 32(3), pages 441-462.
    11. Stephanie A. Heger & Robert Slonim & Ellen Garbarino & Carmen Wang & Daniel Waller, 2020. "Redesigning the Market for Volunteers: A Donor Registry," Management Science, INFORMS, vol. 66(8), pages 3528-3541, August.
    12. Lacetera, Nicola & Macis, Mario & Stith, Sarah S., 2014. "Removing financial barriers to organ and bone marrow donation: The effect of leave and tax legislation in the U.S," Journal of Health Economics, Elsevier, vol. 33(C), pages 43-56.
    13. Alexander H Schmidt & Ute V Solloch & Daniel Baier & Alois Grathwohl & Jan Hofmann & Julia Pingel & Andrea Stahr & Gerhard Ehninger, 2011. "Support of Unrelated Stem Cell Donor Searches by Donor Center-Initiated HLA Typing of Potentially Matching Donors," PLOS ONE, Public Library of Science, vol. 6(5), pages 1-5, May.
    14. Exley, Christine L. & Petrie, Ragan, 2018. "The impact of a surprise donation ask," Journal of Public Economics, Elsevier, vol. 158(C), pages 152-167.
    15. Dasgupta, Kushan, 2018. "Generosity and compliance: Recruitment-work and the pathways to participation in bone marrow donation," Social Science & Medicine, Elsevier, vol. 206(C), pages 86-92.
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    More about this item

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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