Cost-Effectiveness Study Supports Sequential Living-Donor Evaluation

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When more than one potential living kidney donor comes forward, it is more cost-effective to evaluate them all at once, rather than one at a time, reports a study in Kidney International.

The researchers created a simple decision tree to assess the economic impact of simultaneous versus sequential evaluation of multiple potential living kidney donors. In many transplant programs, donors are evaluated one at a time, to avoid the costs of performing unnecessary evaluations.

The costs of evaluation were indeed higher when two candidates were evaluated simultaneously: $1266 (Canadian dollars) higher than sequential evaluation. However, simultaneous evaluation was