{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T21:48:37Z","timestamp":1790027317255,"version":"4.0.1"},"reference-count":11,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2021,3,25]],"date-time":"2021-03-25T00:00:00Z","timestamp":1616630400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100006545","name":"National Institute on Minority Health and Health Disparities","doi-asserted-by":"publisher","award":["R01\u2010MD014161"],"award-info":[{"award-number":["R01\u2010MD014161"]}],"id":[{"id":"10.13039\/100006545","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"publisher","award":["KL2 TR001874"],"award-info":[{"award-number":["KL2 TR001874"]}],"id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000062","name":"National Institute of Diabetes and Digestive and Kidney Diseases","doi-asserted-by":"publisher","award":["R01\u2010DK114893"],"award-info":[{"award-number":["R01\u2010DK114893"]}],"id":[{"id":"10.13039\/100000062","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000062","name":"National Institute of Diabetes and Digestive and Kidney Diseases","doi-asserted-by":"publisher","award":["U01\u2010DK116066"],"award-info":[{"award-number":["U01\u2010DK116066"]}],"id":[{"id":"10.13039\/100000062","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Transplantation"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Cognitive biases shown to impact medical decision\u2010making include left\u2010digit bias, the tendency to focus on a continuous variable's leftmost digit. We hypothesized that left\u2010digit bias impacts deceased donor kidney utilization through heuristic processing of donor age and creatinine. We used US registry data to identify 87\u00a0019 kidneys recovered (2015\u20132019) and compared the proportion around thresholds for donor age (69 vs. 70\u00a0years) and creatinine (1.9 vs. 2.0\u00a0mg\/dl), then compared the risk of kidney discard. Kidneys from donors aged 70 vs. 69\u00a0years were more frequently discarded (77% vs. 65%, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a0.001), with higher risk of discard even after adjusting for KDRI (adjusted RR 1.11, 95% CI 1.02\u20131.21, <jats:italic>p<\/jats:italic>\u00a0=\u00a0.018). Similarly, kidneys from donors with final creatinine 2.0 vs. 1.9\u00a0mg\/dl were more frequently discarded (37% vs. 29%, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a0.001), with higher risk of discard after adjusting for KDRI (adjusted RR 1.19, 95% CI 1.07\u20131.33, <jats:italic>p<\/jats:italic>\u00a0=\u00a0.001). However, no significant left\u2010digit effect was found when examining other donor age (39\/40, 49\/50, 59\/60\u00a0years) or creatinine (0.9\/1.0, 2.9\/3.0\u00a0mg\/dl) thresholds. The findings suggest a possible left\u2010digit effect affecting kidney utilization at specific thresholds. Additional investigations of the impact of this and other heuristics on organ utilization are needed to identify potential areas for decision\u2010making interventions aimed at reducing kidney discard.<\/jats:p>","DOI":"10.1111\/ctr.14284","type":"journal-article","created":{"date-parts":[[2021,3,11]],"date-time":"2021-03-11T20:41:16Z","timestamp":1615495276000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Left\u2010digit bias and deceased donor kidney utilization"],"prefix":"10.1111","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1823-0117","authenticated-orcid":false,"given":"S. Ali","family":"Husain","sequence":"first","affiliation":[{"name":"Department of Medicine Division of Nephrology Columbia University Medical Center New York NY USA"},{"name":"The Columbia University Renal Epidemiology (CURE) Group New York NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristen L.","family":"King","sequence":"additional","affiliation":[{"name":"Department of Medicine Division of Nephrology Columbia University Medical Center New York NY USA"},{"name":"The Columbia University Renal Epidemiology (CURE) Group New York NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5305-9685","authenticated-orcid":false,"given":"Sumit","family":"Mohan","sequence":"additional","affiliation":[{"name":"Department of Medicine Division of Nephrology Columbia University Medical Center New York NY USA"},{"name":"The Columbia University Renal Epidemiology (CURE) Group New York NY USA"},{"name":"Department of Epidemiology Mailman School of Public Health Columbia University New York NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,3,25]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0000000000002518"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12911-016-0377-1"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMc1911289"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.kint.2018.02.016"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.06550617"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/TP.0000000000001715"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.kint.2016.03.007"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2012.1075"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-020-01078-9"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2012.0895"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajt.15952"}],"container-title":["Clinical Transplantation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ctr.14284","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ctr.14284","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ctr.14284","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,30]],"date-time":"2023-08-30T03:07:55Z","timestamp":1693364875000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ctr.14284"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,3,25]]},"references-count":11,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2021,6]]}},"alternative-id":["10.1111\/ctr.14284"],"URL":"https:\/\/doi.org\/10.1111\/ctr.14284","archive":["Portico"],"relation":{},"ISSN":["0902-0063","1399-0012"],"issn-type":[{"value":"0902-0063","type":"print"},{"value":"1399-0012","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,3,25]]},"assertion":[{"value":"2021-01-11","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-03-04","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-03-25","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e14284"}}