MP36-04 THE “CANNIBALIZATION” OF ALTRUISTIC KIDNEY DONATION BY VOUCHER-BASED KIDNEY TRANSPLANTATION

Abstract

You have accessJournal of UrologyCME1 May 2022MP36-04 THE “CANNIBALIZATION” OF ALTRUISTIC KIDNEY DONATION BY VOUCHER-BASED KIDNEY TRANSPLANTATION Nima Nassiri, Torey Averick, and Jeffrey Veale Nima NassiriNima Nassiri More articles by this author , Torey AverickTorey Averick More articles by this author , and Jeffrey VealeJeffrey Veale More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002590.04AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Barriers to living kidney donation are multi-factorial, and may include logistic, financial, familial, cultural, and religious factors. Less discussed but impactful barriers involve: (1) a reluctance to donate because a present-day donation prohibits future one, and (2) chronological incompatibility. Voucher-based kidney donation seeks to address these latter two barriers. Herein, we sought to evaluate how voucher-based donations have impacted standard altruistic kidney donation. METHODS: Subjects were all patients participating in standard altruistic donation and voucher-based donation through the National Kidney Registry from 2014 to present. Demographic and clinical factors were considered. The impact on downstream chains of transplantation were also evaluated. Both voucher-based and standard altruistic donation were considered “non-directed”. RESULTS: Since 2014, the total number of non-directed donations, either from standard altruistic donation or through the voucher program, has risen by over 3-fold (Figure 1). The number standard altruistic donations has declined since 2018, coinciding with an uptick in the number of voucher-based donations from 22 in 2018 to 113 in 2020. Voucher-based donations continued to grow throughout the pandemic. The following trends have been seen: (1) a steady rise in FV-based donation from the inception of the voucher program to present; (2) a steady shift in the percent involvement from standard altruistic donation to voucher-based donation; and (3) an annual decline in number of standard altruistic donors over the past 3 years. CONCLUSIONS: The following trends have been seen: (1) a steady rise in FV-based donation from the inception of the voucher program to present; (2) a steady shift in the percent involvement from standard altruistic donation to voucher-based donation; and (3) an annual decline in number of standard altruistic donors over the past 3 years. Though greater follow up is required, the short term trends suggest that voucher-based donation may be “cannibalizing” donation. Despite this, the overall number of non-directed donations, and the chains of transplants they spark, have expanded, delivering more high-quality kidneys and shortening the waiting time for kidney-paired exchange. Source of Funding: OneLegacy Foundation © 2022 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 207Issue Supplement 5May 2022Page: e597 Advertisement Copyright & Permissions© 2022 by American Urological Association Education and Research, Inc.MetricsAuthor Information Nima Nassiri More articles by this author Torey Averick More articles by this author Jeffrey Veale More articles by this author Expand All Advertisement PDF DownloadLoading ...