{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T20:57:52Z","timestamp":1781816272094,"version":"3.54.5"},"reference-count":29,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T00:00:00Z","timestamp":1773792000000},"content-version":"vor","delay-in-days":17,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Transplantation"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>In Mexico, more than 15,000 patients are waiting for a kidney transplant, and there are not enough kidneys from deceased donors to transplant them. A kidney exchange program could increase kidney transplants from living donors by matching altruistic living donors and biologically incompatible donor\u2010recipient pairs. Several countries have implemented successful kidney exchange programs. We evaluated the impact of implementing a kidney exchange program in Mexico.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We simulated kidney exchange in Mexico using data from Mexican population distributions. We used an optimization model to maximize the number of compatible patient\u2010donor matchings. Three different scenarios were evaluated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We estimated that almost 45% of patients on the waiting list have an incompatible donor, and 995 transplant candidates who have a living donor available are added to the waiting list annually. If a kidney exchange program were established in Mexico, the number of living\u2010donor transplants could increase by up to 20%.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Implementing kidney exchange in the country may reduce the increase in the number of recipients on the waiting list and reduce costs in the long term. To succeed, the program must not only draw sufficient participation from incompatible pairs, but also ensure that these pairs remain in the program even if they have to wait to be matched.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ctr.70503","type":"journal-article","created":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T14:52:29Z","timestamp":1773845549000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Assessing the Potential Impact of a Kidney Exchange Program in Mexico"],"prefix":"10.1111","volume":"40","author":[{"given":"Roger Z.","family":"R\u00edos\u2010Mercado","sequence":"first","affiliation":[{"name":"Graduate Program in Electrical Engineering Universidad Aut\u00f3noma de Nuevo Le\u00f3n  San Nicol\u00e1s de los Garza Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michel A.","family":"Herrera\u2010Medrano","sequence":"additional","affiliation":[{"name":"Control Digital Soluciones  Monterrey Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diana L.","family":"Huerta\u2010Mu\u00f1oz","sequence":"additional","affiliation":[{"name":"Graduate Program in Electrical Engineering Universidad Aut\u00f3noma de Nuevo Le\u00f3n  San Nicol\u00e1s de los Garza Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sommer E.","family":"Gentry","sequence":"additional","affiliation":[{"name":"Grossman School of Medicine New York University  New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Homero A.","family":"Zapata\u2010Chavira","sequence":"additional","affiliation":[{"name":"Transplant Services, University Hospital \u201cDr. Jos\u00e9 E. Gonz\u00e1lez\u201d Universidad Aut\u00f3noma de Nuevo Le\u00f3n  Monterrey Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,18]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.suc.2018.09.003"},{"key":"e_1_2_11_3_1","unstructured":"National Kidney Foundation.Programs for Donor\/Recipient Pairs With Incompatible Blood Types https:\/\/www.kidney.org."},{"key":"e_1_2_11_4_1","unstructured":"Centro Nacional de Trasplantes.BEI\u2010CENATRA 2022 InSpanish https:\/\/www.gob.mx\/cenatra\/documentos\/boletin\u2010estadistico\u2010informativo?idiom=es."},{"key":"e_1_2_11_5_1","unstructured":"National Kidney Registry.NKR Quarterly Report Q32023 https:\/\/www.kidneyregistry.org\/wp\u2010content\/uploads\/2023\/11\/NKR\u2010Report\u20102023Q3v5.pdf."},{"key":"e_1_2_11_6_1","unstructured":"IRODaT.International Registry in Organ Donation and Transplantation: Preliminary Numbers2022 https:\/\/www.irodat.org."},{"key":"e_1_2_11_7_1","first-page":"452","volume":"39","author":"Mart\u00ednez Calder\u00f3n P.","year":"2019","journal-title":"Reporte de la Primera Cadena de Trasplante Renal en M\u00e9xico Nefrolog\u00eda"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.35366\/94025"},{"key":"e_1_2_11_9_1","unstructured":"Secretar\u00eda de Salud.Perspectiva econ\u00f3mica del trasplante renal para el sector p\u00fablico. In Spanish https:\/\/www.gob.mx\/cms\/uploads\/attachment\/file\/448711\/3_\u2010_CRISTINA_GUTI_RREZ_DELGADO_\u2010_El_costo_para_el_sistema_de_salud_de_la_atenci_n_de_la_Enfermedad_Renal_Cr_nica_en_M_xico.pdf."},{"key":"e_1_2_11_10_1","unstructured":"Centro Nacional de Trasplantes.BEI\u2010CENATRA 2024 InSpanish https:\/\/www.gob.mx\/cenatra\/documentos\/boletin\u2010estadistico\u2010informativo?idiom=es."},{"key":"e_1_2_11_11_1","unstructured":"Pro\u2010Renal. La asociaci\u00f3n https:\/\/pro\u2010renal.com."},{"key":"e_1_2_11_12_1","unstructured":"Secretar\u00eda de Salud.Mexico made the first sequential kidney transplant in four patients. Accessed April 24 2023.https:\/\/www.gob.mx\/salud\/prensa\/mexico\u2010made\u2010the\u2010first\u2010sequential\u2010kidneytransplant\u2010in\u2010four\u2010patients."},{"key":"e_1_2_11_13_1","unstructured":"UNAM\u2010DGCS.Desarrollan algoritmo que triplicar\u00eda los trasplantes de ri\u00f1\u00f3n en M\u00e9xicoIn Spanish https:\/\/www.dgcs.unam.mx\/boletin\/bdboletin\/2016436.html."},{"key":"e_1_2_11_14_1","first-page":"50","article-title":"Kidney Paired Donation: Benefit of this Program on the Transplant Rate and Graft Survival","volume":"91","author":"Bahena\u2010Carrera L.","year":"2023","journal-title":"Cirug\u00eda y Cirujanos"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007890-200108270-00015"},{"key":"e_1_2_11_16_1","unstructured":"OPTN.About CPRA Accessed May 23 2023.https:\/\/optn.transplant.hrsa.gov."},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1590\/S0036-36342002000500004"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1080\/10511970.2010.489544"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u20106143.2005.00964.x"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007890\u2010199604270\u201000024"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10878\u2010015\u20109932\u20104"},{"key":"e_1_2_11_22_1","first-page":"25","volume-title":"Position\u2010indexed Formulations for Kidney Exchange\". 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