title: Dynamic challenges inhibiting optimal adoption of kidney paired donation: findings of a consensus conference.
abstract: While kidney paired donation (KPD) enables the utilization of living donor kidneys from healthy and willing donors incompatible with their intended recipients, the strategy poses complex challenges that have limited its adoption in United States and Canada. A consensus conference was convened March 29-30, 2012 to address the dynamic challenges and complexities of KPD that inhibit optimal implementation. Stakeholders considered donor evaluation and care, histocompatibility testing, allocation algorithms, financing, geographic challenges and implementation strategies with the goal to safely maximize KPD at every transplant center. Best practices, knowledge gaps and research goals were identified and summarized in this document.
authors: Department of Surgery, Stanford University, Stanford, CA.
authors: M L
authors: ML
authors: Melcher
authors: Department of Internal Medicine, University of Iowa, Iowa City, IA.
authors: C D
authors: CD
authors: Blosser
authors: Department of Surgery, UCSF, San Francisco, CA.
authors: L A
authors: LA
authors: Baxter-Lowe
authors: Department of Surgery, Massachusetts General Hospital, Boston, MA.|New England Organ Bank, Boston, MA.
authors: F L
authors: FL
authors: Delmonico
authors: Department of Mathematics, U.S. Naval Academy, Annapolis, MD.
authors: S E
authors: SE
authors: Gentry
authors: United Network of Organ Sharing, Richmond, VA.
authors: R
authors: R
authors: Leishman
authors: Department of Medicine, Ottawa Hospital, Ottawa, ON.
authors: G A
authors: GA
authors: Knoll
authors: Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.
authors: M S
authors: MS
authors: Leffell
authors: Department of Internal Medicine, University of Michigan, Ann Arbor, MI.
authors: A B
authors: AB
authors: Leichtman
authors: Stanford Hospital and Clinics, Palo Alto, CA.
authors: D A
authors: DA
authors: Mast
authors: Department of Internal Medicine, University of Manitoba, Winnipeg, MB.
authors: P W
authors: PW
authors: Nickerson
authors: Department of Pathology, University of California Los Angeles, Los Angeles, CA.
authors: E F
authors: EF
authors: Reed
authors: Department of Urology & Pathology, University of Toledo Medical Center, Toledo, OH.
authors: M A
authors: MA
authors: Rees
authors: Transplant Institute, Beth Israel Deaconess Medical School, Boston, MA.
authors: J R
authors: JR
authors: Rodrigue
authors: Department of Surgery, Johns Hopkins University, Baltimore, MD.
authors: D L
authors: DL
authors: Segev
authors: Department of Surgery, Cornell University, New York, NY.
authors: D
authors: D
authors: Serur
authors: Department of Surgery, Brigham & Women's Hospital Harvard University, Boston, MA.
authors: S G
authors: SG
authors: Tullius
authors: Department of Surgery, Vanderbilt University Medical Center, Nashville, TN.
authors: E Y
authors: EY
authors: Zavala
authors: Department of Surgery, UCSF, San Francisco, CA.
authors: S
authors: S
authors: Feng
mesh_terms: D000465:Algorithms; D002170:Canada; D046148:Donor Selection / Q000379:methods*; D006650:Histocompatibility Testing; D006801:Humans; D016030:Kidney Transplantation / Q000379:methods*; D019520:Living Donors; D051437:Renal Insufficiency / Q000628:therapy*; D014481:United States