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

Autor: Ghanbariamin R; Analysis Group, 2911 Turtle Creek Blvd, No. 600, Dallas, TX 75219, United States. Electronic address: rghanba@clemson.edu., Chung BW; School of Labor and Employment Relations, University of Illinois at Urbana-Champaign, 123 LER building, 504 E. Armory Ave., Champaign, IL 61820, United States. Electronic address: wychung@illinois.edu.
Jazyk: angličtina
Zdroj: Journal of health economics [J Health Econ] 2020 Mar; Vol. 70, pp. 102301. Date of Electronic Publication: 2020 Jan 30.
DOI: 10.1016/j.jhealeco.2020.102301
Abstrakt: 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.
(Copyright © 2020. Published by Elsevier B.V.)
Databáze: MEDLINE
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