A Time-Series Analysis of U.S. Kidney Transplantation and the Waiting List: Donor Substitution Effects and “Dirty Altruism”
نویسندگان
چکیده
This paper provides an econometric analysis of the relationship between live and deceased (cadaveric) kidney donations for the United States for the period 1992:IV through 2006:II. We find strong evidence for deceased donor kidneys "crowding out" living donations, potentially undermining conventional efforts to reduce the shortage. We also find evidence for the "dirty altruism" hypothesis of Osterkamp (2006), in which heavy reliance on living donors undermines cadaveric donor transplants.
منابع مشابه
ملاحظات اخلاقی
Background: Kidney transplantation is one of the major progresses of medical science with many ethical debates. The shortage of organs and the increases in waiting list for cadaver transplantation has leaded to transplantation from living donors. In this article, we discuss the ethics of transplantation from living kidney donors. Methods: For compiling this article, we searched in Pubmed and...
متن کاملLong term effects of kidney donation on blood pressure and kidney function of donors
Introduction: Kidney transplantation from a live donor has many advantages, but the donor should undergo a major surgery and accept potential morbidity and mortality. In this study, we evaluated the long term effects of nephrectomy on renal function and blood pressure of kidney donors. Methods: In this cross-sectional study, we assessed 195 kidney donors. The controls were 100 healthy individu...
متن کاملAcute myocardial infarction and kidney transplantation.
Although the risk for acute myocardial infarction (AMI) is lower after transplantation than on the waiting list, this risk may vary by patient population and may be different early versus late after transplantation. Risk factors for AMI were examined among 53,297 Medicare beneficiaries who were placed on the deceased-donor waiting list in 1995 to 2002. Early (3 mo) effects ...
متن کاملInvestigation of Graft Survival of Kidney Transplantation in Transplant Patients of Shahid Hasheminejad Hospital during 2008-2013 (Iran)
Background and Objectives: Given the advances in treatment and use of new therapies in kidney transplantation, there is always a need to evaluate the survival of graft and patient and to investigate the effect of new therapies. Therefore, the purpose of this study was to assess the survival rate of kidney graft and patient in patients transplanted in Shahid Hasheminejad hospital during 2008-201...
متن کاملGeographic variation in end-stage renal disease incidence and access to deceased donor kidney transplantation.
The effect of demand for kidney transplantation, measured by end-stage renal disease (ESRD) incidence, on access to transplantation is unknown. Using data from the U.S. Census Bureau, Centers for Medicare & Medicaid Services (CMS) and the Organ Procurement and Transplantation Network/Scientific Registry of Transplant Recipients (OPTN/SRTR) from 2000 to 2008, we performed donation service area (...
متن کامل