Kidney exchange with immunosuppressants

Youngsub Chun, Eun Jeong Heo and Sunghoon Heo ()
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Sunghoon Heo: Korea Institute of Public Finance

No 17-00012, Vanderbilt University Department of Economics Working Papers from Vanderbilt University Department of Economics

Abstract: We investigate the implications of introducing immunosuppressants to the kidney exchange problem. Immunosuppressants relax biological constraints between patients and donors, allowing patients to receive transplants from any donor. Given the limited availability, we propose how to assign immunosuppressants and how to match patients to donors to facilitate transplants. We ask whether there exist Pareto efficient solutions that satisfy additional requirements of monotonicity and maximal improvement. We propose modifications of the top-trading cycles solutions to achieve these requirements. To quantify the welfare improvement as per our proposal, we conduct counterfactual analyses using transplant data from South Korea. Our result suggests that the current use of immunosuppressants could have been reduced by 55 percent.

Keywords: immunosuppressants; kidney exchange; top-trading cycles rules; Pareto efficiency; monotonicity; maximal improvement (search for similar items in EconPapers)
JEL-codes: D0 (search for similar items in EconPapers)
Date: 2017-09-06
New Economics Papers: this item is included in nep-des and nep-hea
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Citations: View citations in EconPapers (6)

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Related works:
Journal Article: Kidney exchange with immunosuppressants (2021)
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Persistent link: https://EconPapers.repec.org/RePEc:van:wpaper:vuecon-sub-17-00012

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