In Reply Our group recently examined the pool of kidneys procured from deceased organ donors from 2004 to 2014 and estimated that 17 435 kidneys discarded in the United States would have been transplanted had they been procured in France.1 Compared with the United States, French transplant centers are much more likely to accept kidneys from deceased donors who are older (mean (SD) donor age, 50.9 (17.3) years in France vs 36.5 (17.0) years in the United States) or have comorbidities including hypertension and diabetes. Our findings suggest a major missed opportunity to grow kidney transplantation that is available now if US centers were less risk-averse in terms of judgments they make about the acceptable biological characteristics of donated kidneys.2
Identify all potential conflicts of interest that might be relevant to your comment.
Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.
Err on the side of full disclosure.
If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.
Not all submitted comments are published. Please see our commenting policy for details.
Reese PP, Aubert O, Loupy A. The Number of Discarded Kidneys Is Likely Much Larger Than Reported—Reply. JAMA Intern Med. 2020;180(3):467–468. doi:10.1001/jamainternmed.2019.6099
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: