Log in with your email address username.


Attention doctorportal newsletter subscribers,

After December 2018, we will be moving elements from the doctorportal newsletter to MJA InSight newsletter and rebranding it to Insight+. If you’d like to continue to receive a newsletter covering the latest on research and perspectives in the medical industry, please subscribe to the Insight+ newsletter here.

As of January 2019, we will no longer be sending out the doctorportal email newsletter. The final issue of this newsletter will be distributed on 13 December 2018. Articles from this issue will be available to view online until 31 December 2018.

[Correspondence] Directed organ donation and deceased donor-initiated kidney chains

In many instances, transplants cannot be performed because of incompatibility (such as incompatible blood type or crossmatch) among donors and recipients. A way to address this issue is by means of donor exchanges, in which incompatible pairs are enrolled in a registry. Registries can lead to paired exchanges or to donor chains. In chains, a non-directed (altruistic) donor initiates a sequence of transplants that culminates with a so-called bridge donor. Studies have estimated that a non-directed donor triggers on average 4·8–6 transplants (if donor is blood type O).