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Living Donation Discussion and News => Living Donation in the News => Topic started by: Clark on June 27, 2017, 04:10:09 PM

Title: Vouchers for Future Kidney Transplants to Overcome 'Chronological Incompatibilit
Post by: Clark on June 27, 2017, 04:10:09 PM

http://insights.ovid.com/crossref?an=00007890-900000000-96972 (http://insights.ovid.com/crossref?an=00007890-900000000-96972)

Vouchers for Future Kidney Transplants to Overcome 'Chronological Incompatibility' Between
Living Donors and Recipients.
Transplantation, 03-22-2017
Veale, JL, Capron, AM, Nassiri, N, Danovitch, G, Gritsch, HA, Waterman, A, Del Pizzo, J, Hu, JC, Pycia, M, McGuire, S, Charlton, M, Kapur, S

Permalink:
http://escholarship.org/uc/item/4rq2x3hp
DOI:
https://doi.org/10.1097/tp.0000000000001744
Published Web Location:
http://insights.ovid.com/crossref?an=00007890-900000000-96972
Local Identifier(s):
UCPMS ID: 1883157

Abstract:
The waiting list for kidney transplantation is long and growing. The creation of "vouchers" for future kidney transplants enables living donation to occur when optimal for the donor and transplantation to occur later, when and if needed by the recipient.The donation of a kidney at a time that is optimal for the donor generates a 'voucher' that only a specified recipient may redeem later when needed.
The voucher provides the recipient with priority in being matched with a living donor from the
end of a future transplantation chain. Besides its use in persons of advancing age with a limited
window for donation, vouchers remove a disincentive to kidney donation, namely, a reluctance
to donate now lest one's family member should need a transplant in the future.We describe the
first 3 voucher cases, in which advancing age might otherwise have deprived the donors the
opportunity to provide a kidney to a family member. These 3 voucher donations functioned in
a nondirected fashion and triggered 25 transplants through kidney paired donation across the
United States.The provision of a voucher to potential recipients whose need for a transplant makes them "chronologically incompatible" with their donors may increase the number of living donor transplants.

Title: Re: Vouchers for Future Kidney Transplants to Overcome 'Chronological Incompatibilit
Post by: Karol on June 28, 2017, 11:20:30 PM

Jenna's surgeon and nurse coordinator at UCLA are 2 of the authors here :)