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Efficient Kidney Exchange: Coincidence of Wants in a Markets with Compatibility-Based Preferences

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2007

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American Economic Association
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Roth, Alvin E., Tayfun Sönmez and M. Utku Ünver. 2007. Efficient Kidney Exchange: Coincidence of Wants in a Markets with Compatibility-Based Preferences. American Economic Review 97(3): 828-851.

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Abstract

Patients needing kidney transplants may have donors who cannot donate to them because of blood or tissue incompatibility. Incompatible patient-donor pairs can exchange donor kidneys with other pairs only when there is a “double coincidence of wants.” Developing infrastructure to perform three-way as well as two-way exchanges will have a substantial effect on the number of transplants that can be arranged. Larger than three-way exchanges have less impact on efficiency. In a general model of type-compatible exchanges, the size of the largest exchanges required to achieve efficiency equals the number of types.

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