Average patient would accept kidney today with 6.5 years of expected graft survival to avoid two years of extra wait time for better kidney<\/em><\/p>\n<\/h3>\n <\/b><\/p>\n <\/b><\/p>\n \n\tMONDAY, Aug. 22, 2022 (HealthDay News) — Patients are willing to receive a worse-quality kidney sooner in order to avoid additional waiting time for transplant, according to a study published online Aug. 19 in the Clinical <\/em>Journal of the American Society of Nephrology<\/em>.\n<\/p>\n \n\tSanjay Mehrota, Ph.D., from Northwestern University in Evanston, Illinois, and colleagues used a discrete-choice experiment that presented a deceased donor kidney to 605 patients who are waiting for or have received a kidney transplant. The choice involved a tradeoff between accepting a kidney now or in the future; the options were designed to quantify the relative importance of kidney quality and waiting time.\n<\/p>\n \n\tThe researchers found that the average respondent would accept a kidney today with 6.5 years of expected graft survival in order to avoid an additional two years of waiting for a kidney with 11 years of expected graft survival. Three classes of patient preference were identified: class 1 was averse to extra waiting time but responsive to improvements in kidney quality; class 2 was less willing to accept a longer waiting time for improvements in the quality of the kidney; and class 3 was willing to accept a longer waiting time even for a small improvement in the quality of the kidney. Respondents in class 3 versus class 1 were more likely to be age 61 years or younger and waitlisted before initiating dialysis.\n<\/p>\n \n\t“The findings suggest many patients, particularly older patients and patients with lower performance status, would consider high Kidney Donor Profile Index kidneys in order to receive a kidney transplant sooner,” the authors write.\n<\/p>\n \n\tSeveral authors disclosed financial ties to the pharmaceutical industry.\n<\/p>\n \n\tAbstract\/Full Text<\/a>\n<\/p>\n \n\tEditorial (subscription or payment may be required)<\/a>\n<\/p>\n <\/i><\/p>\n