Kidney exchange, where candidates with organ failure trade incompatible but willing donors, is a life-saving alternative to the deceased donor waitlist, which has inadequate supply to meet demand. While fielded kidney exchanges see huge benefit from altruistic kidney donors (who give an organ without a paired needy candidate), a significantly higher medical risk to the donor deters similar altruism with livers. In this paper, we begin by exploring the idea of large-scale liver exchange, and show on demographically accurate data that vetted kidney exchange algorithms can be adapted to clear such an exchange at the nationwide level. We then propose cross-organ donation where kidneys and livers can be bartered for each other. We show theoretically that this multi-organ exchange provides linearly more transplants than running separate kidney and liver exchanges. This linear gain is a product of altruistic kidney donors creating chains that thread through the liver pool; it exists even when only a small but constant portion of the donors on the kidney side of the pool are willing to donate a liver lobe. We support this result experimentally on demographically accurate multi-organ exchanges. We conclude with thoughts regarding the fielding of a nationwide liver or joint liver-kidney exchange from a legal and computational point of view.
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Alteration of organ size and allometric scaling by organ-specific targeting of IGF signaling
- Award ID(s):
- 1755268
- PAR ID:
- 10342571
- Date Published:
- Journal Name:
- General and Comparative Endocrinology
- Volume:
- 314
- Issue:
- C
- ISSN:
- 0016-6480
- Page Range / eLocation ID:
- 113922
- Format(s):
- Medium: X
- Sponsoring Org:
- National Science Foundation
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