Outlook on the Kidney Paired Donation Program in France
Julien Combe
(1)
,
Victor Hiller
(2)
,
Olivier Tercieux
(3, 4, 5)
,
Benoît Audry
(6)
,
Yinghua He
(7)
,
Christian Jacquelinet
(6, 5)
,
Marie-Alice Macher
(6, 8)
1
UCL -
University College of London [London]
2 LEMMA - Laboratoire d'économie mathématique et de microéconomie appliquée
3 PSE - Paris School of Economics
4 PJSE - Paris Jourdan Sciences Economiques
5 IPP - Institut des politiques publiques
6 Agence de la biomédecine [Saint-Denis la Plaine]
7 Rice University [Houston]
8 INSERM U1018, Faculté de Médecine Paris Sud
2 LEMMA - Laboratoire d'économie mathématique et de microéconomie appliquée
3 PSE - Paris School of Economics
4 PJSE - Paris Jourdan Sciences Economiques
5 IPP - Institut des politiques publiques
6 Agence de la biomédecine [Saint-Denis la Plaine]
7 Rice University [Houston]
8 INSERM U1018, Faculté de Médecine Paris Sud
Victor Hiller
- Fonction : Auteur
- PersonId : 1183577
- IdHAL : victor-hiller
- ORCID : 0000-0002-1616-6158
- IdRef : 088636461
Olivier Tercieux
- Fonction : Auteur
- PersonId : 1183578
Marie-Alice Macher
- Fonction : Auteur
- PersonId : 889785
Résumé
Many countries, including France, have seen a sharp increase in the number of renal disease patients waiting for a transplant. The shortage of kidney transplants has led some countries to develop “paired donation” programmes, which allow patients who can only find incompatible living donors to “swap” donors in order to receive a compatible transplant. In France, the number of additional transplants obtained through this programme is very limited, due in large part to the strict legal framework governing paired donations. For example, the law stipulates that an exchange can only take place between two patient / donor pairs. In its June 2018 summary report, the French National Consultative Ethics Committee (CCNE) lays out avenues to reform the paired donation programme. The French government is expected to present a draft law on revision of the bioethics law in the coming months. It therefore struck us as important to assess the potential effect on transplant numbers if the law were changed to authorise more exible practices in the paired donation programme. On the face of things, increasing the number of patient / donor pairs allowed to take part in an exchange seems like a good way of generating more transplants, but we show that this measure has only a modest impact. A different approach, which has proven effective in other countries, is to allow “donation chains”. We show that allowing donation chains that begin with deceased donors, even at modest frequency, can more than triple the number of transplants.
Domaines
Economies et financesFormat du dépôt | Fichier |
---|---|
Type de dépôt | Autre publication scientifique |
Résumé |
en
Many countries, including France, have seen a sharp increase in the number of renal disease patients waiting for a transplant. The shortage of kidney transplants has led some countries to develop “paired donation” programmes, which allow patients who can only find incompatible living donors to “swap” donors in order to receive a compatible transplant. In France, the number of additional transplants obtained through this programme is very limited, due in large part to the strict legal framework governing paired donations. For example, the law stipulates that an exchange can only take place between two patient / donor pairs. In its June 2018 summary report, the French National Consultative Ethics Committee (CCNE) lays out avenues to reform the paired donation programme. The French government is expected to present a draft law on revision of the bioethics law in the coming months. It therefore struck us as important to assess the potential effect on transplant numbers if the law were changed to authorise more exible practices in the paired donation programme. On the face of things, increasing the number of patient / donor pairs allowed to take part in an exchange seems like a good way of generating more transplants, but we show that this measure has only a modest impact. A different approach, which has proven effective in other countries, is to allow “donation chains”. We show that allowing donation chains that begin with deceased donors, even at modest frequency, can more than triple the number of transplants.
|
Titre |
en
Outlook on the Kidney Paired Donation Program in France
|
Auteur(s) |
Julien Combe
1
, Victor Hiller
2
, Olivier Tercieux
3, 4, 5
, Benoît Audry
6
, Yinghua He
7
, Christian Jacquelinet
6, 5
, Marie-Alice Macher
6, 8
1
UCL -
University College of London [London]
( 300875 )
- Gower Street, London WC1E 6BT
- Royaume-Uni
2
LEMMA -
Laboratoire d'économie mathématique et de microéconomie appliquée
( 219652 )
- Université Paris 2, LEMMA 4 rue Blaise Desgoffe 75006 Paris
- France
3
PSE -
Paris School of Economics
( 301309 )
- 48 boulevard Jourdan 75014 Paris
- France
4
PJSE -
Paris Jourdan Sciences Economiques
( 1171428 )
- 48 boulevard Jourdan 75014 Paris
- France
5
IPP -
Institut des politiques publiques
( 266522 )
- 48 boulevard Jourdan 75014 Paris
- France
6
Agence de la biomédecine [Saint-Denis la Plaine]
( 115378 )
- 1 avenue du stade de France
93212 SAINT-DENIS LA PLAINE Cedex
- France
7
Rice University [Houston]
( 54086 )
- P.O. Box 1892, Houston, Texas 77251-1892
- États-Unis
8
INSERM U1018, Faculté de Médecine Paris Sud
( 475835 )
- France
|
Audience |
Internationale
|
Date de publication |
2019-06
|
Numéro |
41
|
Type de la publication (spécifique HAL INRAE) |
-- non concerné --
|
Public visé |
Scientifique
|
Nombre de pages |
6 p.
|
Comité de lecture |
Oui
|
Vulgarisation |
Non
|
Nom de la revue |
|
Langue du document |
Anglais
|
Domaine(s) |
|
Référence interne |
|
Origine :
Fichiers produits par l'(les) auteur(s)
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