Dynamic challenges inhibiting optimal adoption of kidney paired donation: Findings of a consensus conference

M. L. Melcher, C. D. Blosser, L. A. Baxter-Lowe, F. L. Delmonico, S. E. Gentry, R. Leishman, G. A. Knoll, M. S. Leffell, A. B. Leichtman, D. A. Mast, P. W. Nickerson, E. F. Reed, M. A. Rees, J. R. Rodrigue, D. L. Segev, D. Serur, S. G. Tullius, E. Y. Zavala, S. Feng

Research output: Contribution to journalArticle


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.

Original languageEnglish (US)
Pages (from-to)851-860
Number of pages10
JournalAmerican Journal of Transplantation
Issue number4
Publication statusPublished - Apr 2013



  • Allocation
  • donor evaluation
  • finances
  • histocompatibility testing
  • kidney paired donation
  • nondirected donors
  • paired kidney exchange
  • transport

ASJC Scopus subject areas

  • Transplantation
  • Immunology and Allergy
  • Pharmacology (medical)

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