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

Morris, Tiyi; Maple, Hannah; Norton, Sam; Chilcot, Joseph; Burnapp, Lisa; Draper, Heather; Mamode, Nizam; (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. 10.1097/TP.0000000000004176. Green open access

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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.

Type: Article
Title: Challenges and opportunities in the supply of living kidney donation in the UK National Health Service: an economic perspective
Open access status: An open access version is available from UCL Discovery
DOI: 10.1097/TP.0000000000004176
Publisher version: https://doi.org/10.1097/TP.0000000000004176
Language: English
Additional information: © 2022 The Author(s). Published by Wolters Kluwer Health, Inc. This is an open access article distributed under the Creative Commons Attribution License 4.0 (https://creativecommons.org/licenses/by/4.0/).
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
URI: https://discovery-pp.ucl.ac.uk/id/eprint/10149562
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