{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T11:25:21Z","timestamp":1784805921566,"version":"3.55.0"},"reference-count":18,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2017,8,2]],"date-time":"2017-08-02T00:00:00Z","timestamp":1501632000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["R01 HS 24527"],"award-info":[{"award-number":["R01 HS 24527"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000016","name":"U.S. Department of Health and Human Services","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000016","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000102","name":"Health Resources and Services Administration","doi-asserted-by":"publisher","award":["HHSH250201500009C"],"award-info":[{"award-number":["HHSH250201500009C"]}],"id":[{"id":"10.13039\/100000102","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Transplantation"],"published-print":{"date-parts":[[2017,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>We investigated associations of deceased donor kidney offer acceptance with likelihood of the kidney being discarded, cold ischemia time at transplant (<jats:styled-content style=\"fixed-case\">CIT<\/jats:styled-content>), and likelihood of the kidney being exported outside the donation service area (<jats:styled-content style=\"fixed-case\">DSA<\/jats:styled-content>). We used kidney offers from donors in the Scientific Registry of Transplant Recipients July 1, 2015\u2010June 30, 2016, and a stratified logistic regression to estimate odds ratios of acceptance for candidates wait\u2010listed in a<jats:styled-content style=\"fixed-case\">DSA<\/jats:styled-content>. We estimated associations between these ratios and likelihood of discard or export and<jats:styled-content style=\"fixed-case\">CIT<\/jats:styled-content>at transplant. Approximately 0.50 kidneys were discarded per donor; lower<jats:styled-content style=\"fixed-case\">DSA<\/jats:styled-content>\u2010specific offer acceptance ratios were associated with more discards (<jats:italic>R<\/jats:italic>=\u22120.20;<jats:italic>P<\/jats:italic>=0.006). For a median donor, the<jats:styled-content style=\"fixed-case\">DSA<\/jats:styled-content>with the highest acceptance ratio would place 0.12 more kidneys per donor than the<jats:styled-content style=\"fixed-case\">DSA<\/jats:styled-content>with the lowest ratio. Low acceptance ratios were associated with higher<jats:styled-content style=\"fixed-case\">CIT<\/jats:styled-content>(<jats:italic>R<\/jats:italic>=\u22120.23;<jats:italic>P<\/jats:italic>&lt;0.001). For the median donor,<jats:styled-content style=\"fixed-case\">CIT<\/jats:styled-content>was 2.9\u00a0hours shorter for the<jats:styled-content style=\"fixed-case\">DSA<\/jats:styled-content>with the highest versus lowest acceptance ratio. Low acceptance ratios were associated with more exports (<jats:italic>R<\/jats:italic>=\u22120.43;<jats:italic>P<\/jats:italic>&lt;0.001); the probability was 15% higher for a median donor in the<jats:styled-content style=\"fixed-case\">DSA<\/jats:styled-content>with the lowest versus highest acceptance ratio. Improving lower\u2010than\u2010expected offer acceptance would likely reduce discards,<jats:styled-content style=\"fixed-case\">CIT<\/jats:styled-content>, and exports.<\/jats:p>","DOI":"10.1111\/ctr.13057","type":"journal-article","created":{"date-parts":[[2017,7,16]],"date-time":"2017-07-16T12:42:33Z","timestamp":1500208953000},"source":"Crossref","is-referenced-by-count":29,"title":["Influence of kidney offer acceptance behavior on metrics of allocation efficiency"],"prefix":"10.1111","volume":"31","author":[{"given":"Andrew","family":"Wey","sequence":"first","affiliation":[{"name":"Scientific Registry of Transplant Recipients Minneapolis Medical Research Foundation Minneapolis Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas","family":"Salkowski","sequence":"additional","affiliation":[{"name":"Scientific Registry of Transplant Recipients Minneapolis Medical Research Foundation Minneapolis Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bertram L.","family":"Kasiske","sequence":"additional","affiliation":[{"name":"Scientific Registry of Transplant Recipients Minneapolis Medical Research Foundation Minneapolis Minnesota"},{"name":"Department of Medicine Hennepin County Medical Center Minneapolis Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ajay K.","family":"Israni","sequence":"additional","affiliation":[{"name":"Scientific Registry of Transplant Recipients Minneapolis Medical Research Foundation Minneapolis Minnesota"},{"name":"Department of Medicine Hennepin County Medical Center Minneapolis Minnesota"},{"name":"Division of Epidemiology and Community Health School of Public Health University of Minnesota Minneapolis Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jon J.","family":"Snyder","sequence":"additional","affiliation":[{"name":"Scientific Registry of Transplant Recipients Minneapolis Medical Research Foundation Minneapolis Minnesota"},{"name":"Division of Epidemiology and Community Health School of Public Health University of Minnesota Minneapolis Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,8,2]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajt.13666"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.kint.2016.01.028"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajt.12830"},{"key":"e_1_2_8_5_1","unstructured":"OPTN\/UNOS Membership and Professional Standards Committee.Transplant Program Performance Measures Review (Outcomes Measures).2016.https:\/\/optn.transplant.hrsa.gov\/media\/1248\/performance_metrics_concept_paper.pdf. 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