Beard, T. Randolph and Jackson, John D. and Kaserman, David and Kim, Hyeongwoo (2009): A Time-Series Analysis of U.S. Kidney Transplantation and the Waiting List: Donor Substitution Effects and "Dirty Altruism".
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This paper provides an econometric analysis of the relationship between live and deceased (cadaveric) kidney donations for the United States for the period 1992:IV through 2006:II. Statistical analysis shows that increases in deceased donor transplants reduce future live donor grafts, controlling for both waiting list effects and exogenous trends. This result has important, and potentially dire, implications for efforts to reduce the organ shortage by increasing use of cadaver donors.
|Item Type:||MPRA Paper|
|Original Title:||A Time-Series Analysis of U.S. Kidney Transplantation and the Waiting List: Donor Substitution Effects and "Dirty Altruism"|
|Keywords:||Kidney Transplantations; Donor Substitution Effects; Dirty Altruism; Cointegration|
|Subjects:||I - Health, Education, and Welfare > I1 - Health > I18 - Government Policy; Regulation; Public Health
I - Health, Education, and Welfare > I1 - Health > I19 - Other
|Depositing User:||Hyeongwoo Kim|
|Date Deposited:||02. Oct 2009 10:14|
|Last Modified:||19. Feb 2013 11:22|
Andrews, Donald W.K. (1991), "Heteroskedasticity and Autocorrelation Consistent Covariance Matrix Estimation," Econometrica, 59, 817-858.
Andrews, Donald W.K. and J. Christopher Monahan (1992), "An Improved Heteroskedasticity and Autocorrelation Consistent Covariance Matrix Estimator," Econometrica, 60, 953-966.
Barnett, Andy, T. Randolph Beard, and David L. Kaserman (1993), "The Medical Community’s Opposition to Organ Markets: Ethics or Economics?", Review of Industrial Organization, 8, 669-678.
Beard, T. Randolph and David L. Kaserman (2006), "On the Ethics of Paying Organ Donors: An Economic Perspective," DePaul University Law Review, 55, 827-850.
Beard, T. Randolph, John D. Jackson, and David L. Kaserman (2008), "The Failure of U.S. Organ Procurement Policy," Regulation, 30-4, 22-30.
Cherry, Mark (2005), Kidney for Sale-Human Organs, Transplantation, and the Market, Georgetown University Press, Washington, D.C.
Clarke, Katherine S., Scott Klarenbach, Sorina Vlaicu, Robert C. Yang, Amit X. Garg (2006), "The Direct and Indirect Economic Costs Incurred by Living Kidney Donors-A Systematic Review," Nephrology, Dialysis, and Transplantation, 21-7, 1952-1960.
Elliott, Graham, Thomas J. Rothenberg, and James H. Stock (1996), "Efficient Tests for an Autoregressive Unit Root," Econometrica, 64, 813-836.
Ghods, Ahad (2002), "Renal transplantation in Iran," Nephrology, Dialysis, Transplantation, 17-1, 222-228.
Ghods, Ahad and Shekoufeh Savaj (2006), "Iranian Model of Paid and Regulated Living-Unrelated Kidney Donation," Clinical Journal of the American Society of Nephrology, 1, 1136-1145.
Gjertson, David W. and J Michael Cecka (2000), "Living Unrelated Donor Kidney Transplantation," Kidney International, 58, 491-499.
Goodwin, Michele (2006), Black Markets: The Supply and Demand of Body Parts, Cambridge: Cambridge University Press.
Ibrahim, Hassan N., Robert Foley, LiPing Tan, Tyson Rogers, Robert F. Bailey, Hongfei Guo, Cynthia R. Gross, and Arthur J. Matas (2009), "Long-Term Consequences of Kidney Donation," New England Journal of Medicine, 360-5, 459-469.
Johansen, Søren (1988), "Statistical Analysis of Cointegrated Vectors," Journal of Economic Dynamics and Control, 12, 231-254.
Karlberg, I. and G. Nyberg (1995), "Cost-Effectiveness Studies of Renal Transplantation," International Journal of Technological Assessment in Health Care, 11, 611-622.
Kaserman, David, and Andy Barnett (2002), The U.S. Organ Procurement System: A Prescription for Reform, American Enterprise Institute, Washington, D.C.
Matas, Arthur (2004), "The Case for Living Kidney Sales: Rationale, Objections, and Concerns," American Journal of Transplantation, 4-12, 2007-2017.
Ogaki, Masao and Joon Y. Park (1998), "A Cointegration Approach to Estimating Preference Parameters," Journal of Econometrics, 82, 107-134.
Osterkamp, Rigmar (2006), "Why Scarcity of Kidneys under an Inconsequently Altruistic System May Feed Itself," Ifo Institute for Economic Research, Munich, manuscript, presented at the meetings of the Western Economic Association.
Park, Joon Y. (1990), "Testing for Unit Roots and Cointegration by Variable Addition," Advances in Econometrics, 8, 107-133.
Park, Joon Y. (1992), "Canonical Cointegrating Regressions," Econometrica, 60, 119-143.
Perez-Pena, Richard (2006), "As Diabetes Destroys Kidneys, New York Lags in Dialysis Care," New York Times, Dec. 28, 2006, p. A1.
Phillips, Peter C.B. (1991), "Optimal Inference in Cointegrated Systems," Econometrica, 59, 283-306.
Phillips, Peter C.B. and Bruce Hansen (1990), "Statistical Inference in Instrumental Variables Regression with I(1) Processes," Review of Economic Studies, 57, 99-125.
Phillips, Peter C.B. and Pierre Perron (1988), "Testing for a Unit Root in Time Series Regression," Biometrica, 75, 335-346.
Reilly, Patrick M., Ronald F. Sing, Michael D. Grossman, Renee V. Hawthorne, William S. Hoff, Donald R. Kauder, and C. William Schwab (1997), "The Costs of Altruism: Patient Charges for Organ Donation after Traumatic Injury," Internet Journal of Thoracic and Cardiovascular Surgery, 1-2, ISSN 1524-0274.
Rudich, Steven M., Bruce Kaplan, John C. Magee, Juan D. Arenas, Jeffrey D. Punch, Liise K. Kayler, Robert M. Merion, and Herwig-Ulf Meier-Kriesche (2002), "Renal Transplantations Performed Using Non-Heart-Beating Organ Donors: Going Back to the Future," Transplantation, 74-12, 1715-20.
Shafer, Teresa J., Dennis Wagner, John Chessare, Francis A. Zampiello, Virginia McBride, and Jade Perdue (2006), "Organ Donation Breakthrough Collaborative: Increasing Organ Donation Through System Redesign," Critical Care Nurse, 26, 33-48.
Steinbuch, Robert (2009), "Kidneys, Cash and Kashrut: A Legal, Economic, and Religious Analysis of Selling Kidneys," Houston Law Review, 45, 1529-1607.
Stock, James H. and Mark W. Watson (1993), "A Simple Estimator of Cointegrating Vectors in Higher Order Integrated Systems," Econometrica, 61, 783-820.