{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T20:24:12Z","timestamp":1787603052042,"version":"build-2736575974"},"reference-count":35,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["amjtransplant.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["American Journal of Transplantation"],"published-print":{"date-parts":[[2026,8]]},"DOI":"10.1016\/j.ajt.2026.07.030","type":"journal-article","created":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T23:38:35Z","timestamp":1786405115000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Integrating deceased and living donation: six-year outcomes of the Italian deceased donor\u2013initiated kidney paired exchange (DEC-K) program"],"prefix":"10.1016","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7065-0354","authenticated-orcid":false,"given":"Caterina","family":"Di Bella","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7468-9600","authenticated-orcid":false,"given":"Umberto","family":"Maggiore","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-6042-7758","authenticated-orcid":false,"given":"Pamela","family":"Fiaschetti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3439-7750","authenticated-orcid":false,"given":"Roberta","family":"Angelico","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7505-5896","authenticated-orcid":false,"given":"Ugo","family":"Boggi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-6560-2589","authenticated-orcid":false,"given":"Barbara","family":"Buscemi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4160-8840","authenticated-orcid":false,"given":"Giorgia","family":"Comai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-0587-9231","authenticated-orcid":false,"given":"Paola","family":"Donato","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3410-9090","authenticated-orcid":false,"given":"Mariano","family":"Ferraresso","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-6926-7161","authenticated-orcid":false,"given":"Fiorella","family":"Gastaldon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2531-499X","authenticated-orcid":false,"given":"Gabriele","family":"Guglielmetti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9143-8021","authenticated-orcid":false,"given":"Enrico","family":"Minetti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6668-2548","authenticated-orcid":false,"given":"Giacomo","family":"Mori","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5405-4889","authenticated-orcid":false,"given":"Antonio","family":"Nicol\u00f2","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7745-1809","authenticated-orcid":false,"given":"Vera","family":"Paloschi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8938-6170","authenticated-orcid":false,"given":"Stefano","family":"Partelli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7153-0346","authenticated-orcid":false,"given":"Jacopo","family":"Romagnoli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2115-4191","authenticated-orcid":false,"given":"Fabio","family":"Vistoli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2776-2297","authenticated-orcid":false,"given":"Massimo","family":"Cardillo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7855-5055","authenticated-orcid":false,"given":"Emanuele","family":"Cozzi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-6807-0275","authenticated-orcid":false,"given":"Giuseppe","family":"Feltrin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2264-7986","authenticated-orcid":false,"given":"Lucrezia","family":"Furian","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"23","key":"10.1016\/j.ajt.2026.07.030_bib1","doi-asserted-by":"crossref","first-page":"1725","DOI":"10.1056\/NEJM199912023412303","article-title":"Comparison of mortality in all patients on dialysis, patients on dialysis awaiting transplantation, and recipients of a first cadaveric transplant","volume":"341","author":"Wolfe","year":"1999","journal-title":"N Engl J Med"},{"issue":"10","key":"10.1016\/j.ajt.2026.07.030_bib2","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2022.34971","article-title":"Survival benefit of first single-organ deceased donor kidney transplantation compared with long-term dialysis across ages in transplant-eligible patients with kidney failure","volume":"5","author":"Strohmaier","year":"2022","journal-title":"JAMA Netw Open"},{"issue":"1","key":"10.1016\/j.ajt.2026.07.030_bib3","doi-asserted-by":"crossref","first-page":"e64","DOI":"10.1097\/TP.0000000000005125","article-title":"Waitlist time, age, and social vulnerability: impact on the survival benefit of deceased donor kidney transplantation versus long-term dialysis among patients with end-stage renal disease","volume":"109","author":"Yang","year":"2025","journal-title":"Transplantation"},{"issue":"10","key":"10.1016\/j.ajt.2026.07.030_bib4","doi-asserted-by":"crossref","first-page":"1377","DOI":"10.1097\/00007890-200211270-00005","article-title":"Waiting time on dialysis as the strongest modifiable risk factor for renal transplant outcomes: a paired donor kidney analysis","volume":"74","author":"Meier-Kriesche","year":"2002","journal-title":"Transplantation"},{"issue":"8","key":"10.1016\/j.ajt.2026.07.030_bib5","doi-asserted-by":"crossref","first-page":"znaf162","DOI":"10.1093\/bjs\/znaf162","article-title":"Comparison of outcomes after living and deceased donor kidney transplantation: UK national cohort study","volume":"112","author":"Murray","year":"2025","journal-title":"Br J Surg"},{"issue":"15","key":"10.1016\/j.ajt.2026.07.030_bib6","doi-asserted-by":"crossref","first-page":"1883","DOI":"10.1001\/jama.293.15.1883","article-title":"Kidney paired donation and optimizing the use of live donor organs","volume":"293","author":"Segev","year":"2005","journal-title":"JAMA"},{"issue":"4","key":"10.1016\/j.ajt.2026.07.030_bib7","doi-asserted-by":"crossref","first-page":"318","DOI":"10.1056\/NEJMoa1012376","article-title":"Desensitization in HLA-incompatible kidney recipients and survival","volume":"365","author":"Montgomery","year":"2011","journal-title":"N Engl J Med"},{"issue":"9","key":"10.1016\/j.ajt.2026.07.030_bib8","doi-asserted-by":"crossref","first-page":"1153","DOI":"10.1097\/01.tp.0000262570.18117.55","article-title":"Implementation of a protocol for ABO-incompatible kidney transplantation \u2013 a three-center experience with 60 consecutive transplantations","volume":"83","author":"Tyd\u00e9n","year":"2007","journal-title":"Transplantation"},{"issue":"6","key":"10.1016\/j.ajt.2026.07.030_bib9","doi-asserted-by":"crossref","first-page":"603","DOI":"10.1097\/TP.0b013e318245b2af","article-title":"Outcomes of ABO-incompatible kidney transplantation in the United States","volume":"93","author":"Montgomery","year":"2012","journal-title":"Transplantation"},{"issue":"8","key":"10.1016\/j.ajt.2026.07.030_bib10","doi-asserted-by":"crossref","first-page":"1886","DOI":"10.1111\/j.1600-6143.2009.02724.x","article-title":"Perception versus reality?: virtual crossmatch\u2014how to overcome some of the technical and logistic limitations","volume":"9","author":"Tambur","year":"2009","journal-title":"Am J Transplant"},{"key":"10.1016\/j.ajt.2026.07.030_bib11","doi-asserted-by":"crossref","DOI":"10.3389\/ti.2022.10511","article-title":"European guideline for the management of kidney transplant patients with HLA antibodies: by the European Society for Organ Transplantation Working Group","volume":"35","author":"Mamode","year":"2022","journal-title":"Transpl Int"},{"key":"10.1016\/j.ajt.2026.07.030_bib12","series-title":"Global Report","year":"2024"},{"issue":"11","key":"10.1016\/j.ajt.2026.07.030_bib13","doi-asserted-by":"crossref","first-page":"2694","DOI":"10.1111\/j.1600-6143.2006.01515.x","article-title":"Utilizing list exchange and nondirected donation through 'chain' paired kidney donations","volume":"6","author":"Roth","year":"2006","journal-title":"Am J Transplant"},{"issue":"11","key":"10.1016\/j.ajt.2026.07.030_bib14","doi-asserted-by":"crossref","first-page":"1096","DOI":"10.1056\/NEJMoa0803645","article-title":"A nonsimultaneous, extended, altruistic-donor chain","volume":"360","author":"Rees","year":"2009","journal-title":"N Engl J Med"},{"issue":"9","key":"10.1016\/j.ajt.2026.07.030_bib15","doi-asserted-by":"crossref","first-page":"2302","DOI":"10.1111\/j.1600-6143.2005.01024.x","article-title":"The Dutch national living donor kidney exchange program","volume":"5","author":"de Klerk","year":"2005","journal-title":"Am J Transplant"},{"issue":"8","key":"10.1016\/j.ajt.2026.07.030_bib16","doi-asserted-by":"crossref","first-page":"1276","DOI":"10.1093\/ndt\/gfu309","article-title":"Kidney paired donation: principles, protocols and programs","volume":"30","author":"Ferrari","year":"2015","journal-title":"Nephrol Dial Transplant"},{"issue":"4","key":"10.1016\/j.ajt.2026.07.030_bib17","doi-asserted-by":"crossref","first-page":"502","DOI":"10.1097\/TP.0b013e3181812f85","article-title":"Utilization and outcomes of kidney paired donation in the United States","volume":"86","author":"Segev","year":"2008","journal-title":"Transplantation"},{"key":"10.1016\/j.ajt.2026.07.030_bib18","series-title":"Clinical Transplants 2009","first-page":"253","article-title":"The National Kidney Registry: transplant chains \u2013 beyond paired kidney donation","author":"Veale","year":"2009"},{"issue":"10","key":"10.1016\/j.ajt.2026.07.030_bib19","doi-asserted-by":"crossref","first-page":"2196","DOI":"10.1097\/TP.0000000000002645","article-title":"Deceased donor\u2013initiated chains: first report of a successful deliberate case and its ethical implications","volume":"103","author":"Furian","year":"2019","journal-title":"Transplantation"},{"key":"10.1016\/j.ajt.2026.07.030_bib20","series-title":"Allowing deceased donor-initiated kidney paired donation (KPD) chains","year":"2017"},{"issue":"5","key":"10.1016\/j.ajt.2026.07.030_bib21","doi-asserted-by":"crossref","first-page":"1367","DOI":"10.1111\/ajt.13740","article-title":"Utilization of deceased donor kidneys to initiate living donor chains","volume":"16","author":"Melcher","year":"2016","journal-title":"Am J Transplant"},{"issue":"1","key":"10.1016\/j.ajt.2026.07.030_bib22","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1111\/ajt.16268","article-title":"Deceased donors as nondirected donors in kidney paired donation","volume":"21","author":"Wang","year":"2021","journal-title":"Am J Transplant"},{"issue":"6","key":"10.1016\/j.ajt.2026.07.030_bib23","doi-asserted-by":"crossref","first-page":"1278","DOI":"10.1016\/j.ekir.2022.03.023","article-title":"Kidney paired donation chains initiated by deceased donors","volume":"7","author":"Wang","year":"2022","journal-title":"Kidney Int Rep"},{"issue":"2","key":"10.1016\/j.ajt.2026.07.030_bib24","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1097\/TP.0b013e3181ac620b","article-title":"A comprehensive risk quantification score for deceased donor kidneys: the kidney donor risk index","volume":"88","author":"Rao","year":"2009","journal-title":"Transplantation"},{"issue":"7","key":"10.1016\/j.ajt.2026.07.030_bib25","doi-asserted-by":"crossref","first-page":"2077","DOI":"10.1111\/ajt.13709","article-title":"A risk index for living donor kidney transplantation","volume":"16","author":"Massie","year":"2016","journal-title":"Am J Transplant"},{"issue":"6","key":"10.1016\/j.ajt.2026.07.030_bib26","doi-asserted-by":"crossref","first-page":"1063","DOI":"10.1093\/ndt\/gfy118","article-title":"Validation of the Living Kidney Donor Profile Index in a European cohort and comparison of long-term outcomes with US results","volume":"34","author":"Rehse","year":"2019","journal-title":"Nephrol Dial Transplant"},{"issue":"19","key":"10.1016\/j.ajt.2026.07.030_bib27","doi-asserted-by":"crossref","first-page":"1737","DOI":"10.1056\/NEJMoa2102953","article-title":"New creatinine- and cystatin C\u2013based equations to estimate GFR without race","volume":"385","author":"Inker","year":"2021","journal-title":"N Engl J Med"},{"key":"10.1016\/j.ajt.2026.07.030_bib28","series-title":"Stata 19 documentation","year":"2025"},{"issue":"12","key":"10.1016\/j.ajt.2026.07.030_bib29","doi-asserted-by":"crossref","first-page":"2818","DOI":"10.1097\/TP.0000000000001838","article-title":"Advanced donation programs and deceased donor-initiated Chains-2 innovations in kidney paired donation","volume":"101","author":"Wall","year":"2017","journal-title":"Transplantation"},{"issue":"1","key":"10.1016\/j.ajt.2026.07.030_bib30","doi-asserted-by":"crossref","DOI":"10.1038\/s41598-019-47772-7","article-title":"Validation of the Kidney Donor Profile Index (KDPI) to assess a deceased donor\u2019s kidneys\u2019 outcome in a European cohort","volume":"9","author":"Dahmen","year":"2019","journal-title":"Sci Rep"},{"issue":"2 suppl 1","key":"10.1016\/j.ajt.2026.07.030_bib31","doi-asserted-by":"crossref","first-page":"S21","DOI":"10.1016\/j.ajt.2023.02.004","article-title":"OPTN\/SRTR 2021 annual data report: kidney","volume":"23","author":"Lentine","year":"2023","journal-title":"Am J Transplant"},{"issue":"8","key":"10.1016\/j.ajt.2026.07.030_bib32","doi-asserted-by":"crossref","first-page":"729","DOI":"10.1056\/NEJMra2014530","article-title":"Long-term survival after kidney transplantation","volume":"385","author":"Hariharan","year":"2021","journal-title":"N Engl J Med"},{"issue":"9","key":"10.1016\/j.ajt.2026.07.030_bib33","doi-asserted-by":"crossref","first-page":"2451","DOI":"10.1111\/ajt.14343","article-title":"Broken chains and reneging: a review of 1748 kidney paired donation transplants","volume":"17","author":"Cowan","year":"2017","journal-title":"Am J Transplant"},{"issue":"11","key":"10.1016\/j.ajt.2026.07.030_bib34","doi-asserted-by":"crossref","first-page":"1120","DOI":"10.1111\/j.1432-2277.2010.01114.x","article-title":"The optimal chain length for kidney paired exchanges: an analysis of the Dutch program","volume":"23","author":"De Klerk","year":"2010","journal-title":"Transpl Int"},{"issue":"2","key":"10.1016\/j.ajt.2026.07.030_bib35","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1001\/2013.jamasurg.25","article-title":"Kidney transplant chains amplify benefit of nondirected donors","volume":"148","author":"Melcher","year":"2013","journal-title":"JAMA Surg"}],"container-title":["American Journal of Transplantation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S160061352602695X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S160061352602695X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T19:53:32Z","timestamp":1787601212000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S160061352602695X"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":35,"alternative-id":["S160061352602695X"],"URL":"https:\/\/doi.org\/10.1016\/j.ajt.2026.07.030","relation":{},"ISSN":["1600-6135"],"issn-type":[{"value":"1600-6135","type":"print"}],"subject":[],"published":{"date-parts":[[2026,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Integrating deceased and living donation: six-year outcomes of the Italian deceased donor\u2013initiated kidney paired exchange (DEC-K) program","name":"articletitle","label":"Article Title"},{"value":"American Journal of Transplantation","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ajt.2026.07.030","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 American Society of Transplantation & American Society of Transplant Surgeons. Published by Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}