[Skip to Navigation]
Views 522
Citations 0
Viewpoint
June 2, 2021

A Regulated System of Incentives for Kidney Donation—Time for a Trial!

Author Affiliations
  • 1Department of Surgery, Division of Transplantation, University of Minnesota, Minneapolis
JAMA Surg. Published online June 2, 2021. doi:10.1001/jamasurg.2021.1435

For a patient with kidney failure, a successful transplant, compared with dialysis, provides longer life and better quality of life. Significant improvement in transplant outcomes has led to expansion of candidacy criteria and a marked increase in the number of patients eligible for transplant. In the past 2 decades, numerous attempts have been made to increase the number of both living donors (eg, nondirected donors, paired exchange) and deceased donors (eg, donation after circulatory death), yet there has been little change in the number of donated kidneys. With increasing need but limited supply, the waiting list for a transplant has grown and waiting times have increased, with substantial negative consequences for patients in the US. In the last 20 years, more than 89 000 candidates in the US died while waiting for a kidney. An additional 54 838 were removed from the waiting list because of becoming too sick to undergo a transplant.1

Limit 200 characters
Limit 25 characters
Conflicts of Interest Disclosure

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.

Limit 140 characters
Limit 3600 characters or approximately 600 words
    ×