Differences in the Rate of Discarded Kidneys and Kidney Transplant Policies Between the United States and France

Chronic kidney disease affects over 10% of the global population, often leading to end-stage renal disease (ESRD) and necessitating kidney transplantation. With kidney transplantation as the preferred treatment for ESRD, the efficiency of transplantation systems becomes crucial in meeting the increasing demand. A comprehensive comparative analysis was conducted, examining key variables influencing discard rates and outcomes in both countries. These variables include transplantation processes, waitlist criteria, donor-recipient matching, and distinct components of their transplantation systems. The findings suggest that the French transplantation system exhibits greater efficiency compared to the United States, with comparable transplantation outcomes. Key factors influencing this difference include the opt-out organ donation policy, prioritization strategies, and overall health indicators. These findings provide helpful insight into the potential efficiency gains from the French system, which can provide useful direction for such future research.