A Kidney Exchange Clearinghouse in New England

A Kidney Exchange Clearinghouse in New England.

In 2003 there were 8,665 transplants of deceased donor kidneys for the approximately 60,000 patients waiting for such transplants in the United States. While waiting, 3,436 patients died. There were also 6,464 kidney transplants from living donors (Scientific Registry of Transplant Recipients web site). Live donation is an option for kidneys, since healthy people have two and can remain healthy...

Challenges Facing Healthwatch, a New Consumer Champion in England

This article engages with debates about the conceptualisation and practical challenges of patient and public involvement (PPI) in health and social care services. Policy in this area in England has shifted numerous times but increasingly a consumerist discourse seems to override more democratic ideas concerning the relationship between citizens and public services. Recent policy change in Engla...

New Challenges in Multihospital Kidney Exchange.

The growth of kidney exchange presents new challenges for the design of kidney exchange clearinghouses. The players now include directors of transplant centers, who see sets of patientdonor pairs, and can choose to reveal only difficult to match pairs to the clearinghouse, while withholding easy to match pairs to transplant locally. This reduces the number of transplants. We discuss how the inc...

Paired Exchange: A New Innovation in Live Donor Kidney Transplantation

Barriers to traditional living-donor kidney transplantation include ABO incompatibility and positive cross-match. Paired exchange kidney transplantation (PEKT) is a viable an increasingly popular method to increase live donation. We discuss the pros and cons as well as the various ways to achieve PEKT along with a review of existing literature. To achieve the full potential of PEKT, the transpl...

The Effect of the Introduction of a Clearinghouse on Trading Costs: The New York Stock Exchange in the 1890s