Vidal's libraryTitle: | Kidney Exchange |
Author: | Alvin E. Roth, Taygun Sönmez, and M. Utku Ünver |
Journal: | The Quaterly Journal of Economics |
Volume: | 119 |
Number: | 2 |
Pages: | 457--488 |
Year: | 2004 |
DOI: | 10.1162/0033553041382157 |
Abstract: | Most transplanted kidneys are from cadavers, but there are also many transplants from live donors. Recently, there have started to be kidney exchanges involving two donor-patient pairs such that each donor cannot give a kidney to the intended recipient because of immunological incompatibility, but each patient can receive a kidney from the other donor. Exchanges are also made in which a donor-patient pair makes a donation to someone waiting for a cadaver kidney, in return for the patient in the pair receiving high priority for a compatible cadaver kidney when one becomes available. There are stringent legal/ethical constraints on how exchanges can be conducted. We explore how larger scale exchanges of these kinds can be arranged efficiently and incentive compatibly, within existing constraints. The problem resembles some of the “housing” problems studied in the mechanism design literature for indivisible goods, with the novel feature that while live donor kidneys can be assigned simultaneously, cadaver kidneys cannot. In addition to studying the theoretical properties of the proposed kidney exchange, we present simulation results suggesting that the welfare gains from larger scale exchange would be substantial, both in increased number of feasible live donation transplants, and in improved match quality of transplanted kidneys. |
Cited by 79 - Google Scholar
@Article{roth04a,
author = {Alvin E. Roth and Taygun S\"{o}nmez and M. Utku
\"{U}nver},
title = {Kidney Exchange},
journal = {The Quaterly Journal of Economics},
year = 2004,
volume = 119,
number = 2,
pages = {457--488},
doi = {10.1162/0033553041382157},
abstract = {Most transplanted kidneys are from cadavers, but
there are also many transplants from live
donors. Recently, there have started to be kidney
exchanges involving two donor-patient pairs such
that each donor cannot give a kidney to the intended
recipient because of immunological incompatibility,
but each patient can receive a kidney from the other
donor. Exchanges are also made in which a
donor-patient pair makes a donation to someone
waiting for a cadaver kidney, in return for the
patient in the pair receiving high priority for a
compatible cadaver kidney when one becomes
available. There are stringent legal/ethical
constraints on how exchanges can be conducted. We
explore how larger scale exchanges of these kinds
can be arranged efficiently and incentive
compatibly, within existing constraints. The problem
resembles some of the ``housing'' problems studied
in the mechanism design literature for indivisible
goods, with the novel feature that while live donor
kidneys can be assigned simultaneously, cadaver
kidneys cannot. In addition to studying the
theoretical properties of the proposed kidney
exchange, we present simulation results suggesting
that the welfare gains from larger scale exchange
would be substantial, both in increased number of
feasible live donation transplants, and in improved
match quality of transplanted kidneys.},
url = {http://jmvidal.cse.sc.edu/library/roth04a.pdf},
cluster = {13719129550819237930}
}
Last modified: Wed Mar 9 10:16:18 EST 2011