IDEAS home Printed from https://ideas.repec.org/p/pra/mprapa/58246.html
   My bibliography  Save this paper

Utilizing List Exchange and Non-directed Donation through “Chain” Paired Kidney Donations

Author

Listed:
  • Roth, Alvin E.
  • Sonmez, Tayfun
  • Unver, Utku
  • Delmonico, Francis
  • Saidman, Susan L.

Abstract

In a list exchange (LE), the intended recipient in an incompatible pair receives priority on the deceased donor waitlist (DD-waitlist) after the paired incompatible donor donates a kidney to a DD-waitlist candidate. A non-directed donor’s (ND-D) kidney is usually transplanted directly to a DD-waitlist candidate. These two established practices would help even more transplant candidates if they were integrated with kidney paired donation (KPD). We consider a scenario in which the donor of an LE intended recipient (LE-IR) donates to a compatible KPD intended recipient (KPD-IR), and the KPD donor (KPD-D) donates to the waitlist (an LE-chain). We consider a similar scenario in which an ND-D donates to a KPD-IR and the KPD-D donates to the DD-waitlist (an ND-chain). Using data derived from the New England Program for Kidney Exchange (NEPKE) and from OPTN/SRTR recipient-donor distributions, simulations are presented to evaluate the potential impact of chain exchanges coordinated with KPD. LE donors (LE-D) and ND-D who are ABO-O result in the highest number of additional transplants, while results for ABO-A and B donors are similar to each other. We recommend that both LE and ND donations be utilized through chain exchanges.

Suggested Citation

  • 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.
  • Handle: RePEc:pra:mprapa:58246
    as

    Download full text from publisher

    File URL: https://mpra.ub.uni-muenchen.de/58246/1/MPRA_paper_58246.pdf
    File Function: original version
    Download Restriction: no

    References listed on IDEAS

    as
    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 & Utku Unver, M., 2005. "Pairwise kidney exchange," Journal of Economic Theory, Elsevier, vol. 125(2), pages 151-188, December.
    3. Alvin E. Roth & Tayfun Sönmez & M. Utku Ünver, 2004. "Kidney Exchange," The Quarterly Journal of Economics, Oxford University Press, vol. 119(2), pages 457-488.
    4. Zenios, Stefanos & Woodle, E. Steve & Ross, Lainie Friedman, 2001. "Primum Non Nocere: Avoiding Harm to Vulnerable Wait List Candidates in an Indirect Kidney Exchange," Research Papers 1684, Stanford University, Graduate School of Business.
    5. Saidman, Susan L. & Roth, Alvin E. & Sonmez, Tayfun & Unver, M. Utku & Delmonico, Francis L., 2014. "Increasing the Opportunity of Live Kidney Donation by Matching for Two and Three Way Exchanges," MPRA Paper 58247, University Library of Munich, Germany.
    6. Alvin E. Roth & Tayfun Sönmez, 2005. "A Kidney Exchange Clearinghouse in New England," American Economic Review, American Economic Association, vol. 95(2), pages 376-380, May.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Kessler, Judd B. & Roth, Alvin E., 2014. "Loopholes undermine donation: An experiment motivated by an organ donation priority loophole in Israel," Journal of Public Economics, Elsevier, vol. 114(C), pages 19-28.
    2. Alvin E. Roth, 2009. "What Have We Learned from Market Design?," Innovation Policy and the Economy, University of Chicago Press, vol. 9(1), pages 79-112.
    3. Judd B. Kessler & Alvin E. Roth, 2012. "Organ Allocation Policy and the Decision to Donate," American Economic Review, American Economic Association, vol. 102(5), pages 2018-2047, August.
    4. Nicolò, Antonio & Rodríguez-Álvarez, Carmelo, 2017. "Age-based preferences in paired kidney exchange," Games and Economic Behavior, Elsevier, vol. 102(C), pages 508-524.
    5. Alvin E. Roth, 2007. "Repugnance as a Constraint on Markets," Journal of Economic Perspectives, American Economic Association, vol. 21(3), pages 37-58, Summer.
    6. Andersson, Tommy & Kratz, Jörgen, 2016. "Kidney Exchange over the Blood Group Barrier," Working Papers 2016:11, Lund University, Department of Economics, revised 29 Nov 2017.
    7. Deffains, Bruno & Mercier Ythier, Jean, 2010. "Optimal production of transplant care services," Journal of Public Economics, Elsevier, vol. 94(9-10), pages 638-653, October.
    8. repec:oup:oxford:v:33:y:2017:i:4:p:676-704. is not listed on IDEAS
    9. Tayfun Sönmez & M Utku Ünver, 2017. "Market design for living-donor organ exchanges: an economic policy perspective," Oxford Review of Economic Policy, Oxford University Press, vol. 33(4), pages 676-704.
    10. Yılmaz, Özgür, 2014. "Kidney exchange: Further utilization of donors via listed exchange," Journal of Mathematical Economics, Elsevier, vol. 51(C), pages 178-186.
    11. Roth, Alvin E. & Leider, Stephen, 2010. "Kidneys For Sale: Who Disapproves, and Why?," Scholarly Articles 5128483, Harvard University Department of Economics.
    12. Committee, Nobel Prize, 2012. "Alvin E. Roth and Lloyd S. Shapley: Stable allocations and the practice of market design," Nobel Prize in Economics documents 2012-1, Nobel Prize Committee.
    13. repec:oup:oxford:v:33:y:2017:i:4:p:705-720. is not listed on IDEAS
    14. 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.
    15. Alvin E. Roth, 2012. "Marketplace Institutions Related to the Timing of Transactions: Reply to Priest," Journal of Labor Economics, University of Chicago Press, vol. 30(2), pages 479-494.
    16. Judd B. Kessler & Alvin E. Roth, 2014. "Getting More Organs for Transplantation," American Economic Review, American Economic Association, vol. 104(5), pages 425-430, May.
    17. 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.
    18. Itai Ashlagi & David Gamarnik & Michael A. Rees & Alvin E. Roth, 2012. "The Need for (long) Chains in Kidney Exchange," NBER Working Papers 18202, National Bureau of Economic Research, Inc.
    19. YIlmaz, Özgür, 2011. "Kidney exchange: An egalitarian mechanism," Journal of Economic Theory, Elsevier, vol. 146(2), pages 592-618, March.
    20. 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.
    21. Shengwu Li, 2017. "Ethics and market design," Oxford Review of Economic Policy, Oxford University Press, vol. 33(4), pages 705-720.
    22. Alvin E. Roth, 2010. "Marketplace Institutions Related to the Timing of Transactions," NBER Working Papers 16556, National Bureau of Economic Research, Inc.
    23. Glorie, K.M., 2012. "Estimating the probability of positive crossmatch after negative virtual crossmatch," Econometric Institute Research Papers EI 2012-25, Erasmus University Rotterdam, Erasmus School of Economics (ESE), Econometric Institute.

    More about this item

    Keywords

    Kidney Exchange;

    JEL classification:

    • C78 - Mathematical and Quantitative Methods - - Game Theory and Bargaining Theory - - - Bargaining Theory; Matching Theory
    • D47 - Microeconomics - - Market Structure, Pricing, and Design - - - Market Design

    NEP fields

    This paper has been announced in the following NEP Reports:

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:pra:mprapa:58246. See general information about how to correct material in RePEc.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Joachim Winter). General contact details of provider: http://edirc.repec.org/data/vfmunde.html .

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service hosted by the Research Division of the Federal Reserve Bank of St. Louis . RePEc uses bibliographic data supplied by the respective publishers.