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The effect of the National Kidney Registry on the kidney-exchange market

机译:国家肾脏登记处对肾交换市场的影响

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We assess the causal effect of the National Kidney Registry (NKR), the largest national kidney-exchange network in the U.S., on kidney-exchange outcomes. Analyzing a unique database hosted by the Scientific Registry of Transplant Recipients (SRTR) that contains information on all kidney donors, wait-listed candidates, and transplant recipients in the U.S., we find that patients in an NKR hospital are 2.5-3 times more likely than their counterparts in a non-NKR hospital to receive a transplant from a living donor, conditional on wait-time. At the same time, NKR participation does not have a significant effect on the desirability of donors and the health status of recipients. We employ various approaches to ensure our finding is robust in addressing the non-random sorting of patients and donors. As far as the outcomes we study, the expansion of the NKR brings about an overall positive impact on the kidney exchange market. (C) 2020 Published by Elsevier B.V.
机译:我们评估全国肾脏登记处(NKR),该公司是美国最大的国家肾脏交换网络,介绍肾脏交易所成果。分析由移植收件人(SRTR)的科学登记处托管的独特数据库,其中包含所有肾脏捐赠者,等待列出的候选人和移植受者的信息,我们发现NKR医院的患者更容易发生2.5-3倍比他们在非NKR医院的同行,从生活捐赠者中接受移植,在等候时间上有条件。与此同时,NKR参与对捐助者的可取性和接受者的健康状况没有显着影响。我们采用各种方法来确保我们的发现在解决患者和捐赠者的非随机分类方面是强大的。就我们研究的结果而言,NKR的扩张为肾交换市场带来了整体积极影响。 (c)2020由elsevier b.v发布。

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