Long term simulation analysis of deceased donor initiated chains in kidney exchange programs

Kidney exchange programs (KEPs) aim to find compatible kidneys for recipients with incompatible donors. Patients without a living donor depend upon deceased (DD) donations get kidney transplant. In India, ©DD donates directly a©DD wait-list. The idea of initiating an chain starting from is proposed in few articles (and executed Italy 2018), but no mathematical formulation has been given this merger. We have introduced integer programming that creates ©DD-initiated chains, considering both paired registry and allocations simultaneously addressing the overlap issue between wait-list as can register registries independently. A long-term simulation study done ©analyse gain these DD-initiated chains over time. It suggests even small numbers ©DDs, significantly increase potential transplants.