1. Can Behavioral Research Improve Transplant Decision-Making? A Mock Offer Study on the Role of Kidney Procurement Biopsies
- Author
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Darren Stewart, David K. Klassen, Bertram L. Kasiske, Brian Shepard, Kunam S. Reddy, Gaurav Gupta, John D. Rosendale, Isaac E. Hall, Kenneth A. Andreoni, and Harrison McGehee
- Subjects
medicine.medical_specialty ,Tissue and Organ Procurement ,Biopsy ,030232 urology & nephrology ,Original Investigations ,030230 surgery ,Kidney ,Kidney transplant ,Donor Selection ,Odds ,03 medical and health sciences ,0302 clinical medicine ,Procurement ,medicine ,Humans ,Controlled experiment ,Intensive care medicine ,Retrospective Studies ,Low serum creatinine ,medicine.diagnostic_test ,business.industry ,General Medicine ,United States ,medicine.anatomical_structure ,business ,Behavioral Research ,Biopsy findings - Abstract
BACKGROUND: The use of procurement biopsies for assessing kidney quality has been implicated as a driver of the nearly 20% kidney discard rate in the United States. Yet in some contexts, biopsies may boost clinical confidence, enabling acceptance of kidneys that would otherwise be discarded. We leveraged a novel organ offer simulation platform to conduct a controlled experiment isolating biopsy effects on offer acceptance decisions. METHODS: Between November 26 and December 14, 2018, 41 kidney transplant surgeons and 27 transplant nephrologists each received the same 20 hypothetical kidney offers using a crossover design with weekend “washout” periods. Mini-study 1 included four, low serum creatinine (
- Published
- 2020