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Comment & Response
March 2020

The Number of Discarded Kidneys Is Likely Much Larger Than Reported

Author Affiliations
  • 1Department of Medicine, School of Medicine and Public Health, University of Wisconsin, Madison
  • 2Departments of Pediatrics and Medical History and Bioethics, University of Wisconsin, Madison
JAMA Intern Med. 2020;180(3):466-467. doi:10.1001/jamainternmed.2019.6096

To the Editor Kidney transplantation is the most effective therapy for chronic kidney failure, yet there are about 100 000 patients waiting for a kidney in the United States. In their recently published study, Aubert and colleagues1 compared disparities in acceptance of deceased donor kidneys between the United States and France, finding that France is much more liberal in accepting kidneys from donors who are older and have more comorbidities. This results in a loss of approximately 3500 donated kidneys each year in the United States. We have reason to believe this number may actually be much larger.

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