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Challenges and opportunities in the supply of living kidney donation in the UK National Health Service : an economic perspective

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Morris, Tiyi, Maple, Hannah, Norton, Sam, Chilcot, Joseph, Burnapp, Lisa, Draper, Heather, Mamode, Nizam and McCrone, Paul (2022) Challenges and opportunities in the supply of living kidney donation in the UK National Health Service : an economic perspective. Transplantation, 106 (11). pp. 2137-2142. doi:10.1097/TP.0000000000004176 ISSN 1534-6080.

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Official URL: http://doi.org/10.1097/TP.0000000000004176

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Abstract

End-stage kidney disease is a significant burden on the healthcare systems of many countries, and this is likely to continue because of an increasingly aging and comorbid population. Multiple studies have demonstrated a significant clinical benefit in transplantation when compared with dialysis, however, there continues to be a shortage of donor kidneys available. This article provides an economic perspective on issues pertinent to living kidney donation and transplantation. Although ethics, equity, and cultural considerations often seem at odds with economic concepts around resource allocation, this article explains the situation around supply and demand for living kidneys and illustrates how this has been addressed in the economic literature. The article discusses different policy recommendations for resolving the imbalance between supply and demand in kidney donation, through policies under 3 main approaches: increasing supply, decreasing demand, and improving the allocation of kidney supply.

Item Type: Journal Article
Subjects: R Medicine > RC Internal medicine
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences
Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
SWORD Depositor: Library Publications Router
Library of Congress Subject Headings (LCSH): Kidneys -- Diseases , Transplantation of organs, tissues, etc. -- Moral and ethical aspects, Organ donors , Donation of organs, tissues, etc -- Moral and ethical aspects, Organ donors -- Supply and demand
Journal or Publication Title: Transplantation
Publisher: Lippincott Williams & Wilkins
ISSN: 1534-6080
Official Date: November 2022
Dates:
DateEvent
November 2022Published
27 May 2022Available
22 March 2022Accepted
Volume: 106
Number: 11
Page Range: pp. 2137-2142
DOI: 10.1097/TP.0000000000004176
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Open Access (Creative Commons)
Date of first compliant deposit: 22 June 2022
Date of first compliant Open Access: 24 June 2022
RIOXX Funder/Project Grant:
Project/Grant IDRIOXX Funder NameFunder ID
13/54/54National Institute for Health Researchhttp://dx.doi.org/10.13039/501100000272

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