Cornelio C., Furian L., Silvestre C., Rossi F., Rigotti P., Cozzi E., Neri F., Nicolò A. (2019)
Deceased-donor-initiated chains: first report of a successful deliberate case and its ethical implications Transplantation, 103, 10, 2196-2200, 2019.
Background: It has been suggested that deceased donor kidneys could be used to initiate chains of living donor kidney paired donation, but the potential gains of this practice need to be quantified and the ethical implications must be addressed before it can be implemented.
Conclusions: This is the first report of a successfully completed, deliberate deceased donor–initiated chain, which was made possible after a thorough assessment of the ethical issues and the impact of allocation policies. This article includes a preliminary efficacy assessment and describes the development of a dedicated algorithm.