A Study of Kidney Exchange Problem and its Recent Challenges

Sanjeev Kumar, Bhabendu Kumar Mohanta
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Abstract

A person whose both kidneys have been damaged can hardly survive. One early idea in this situation is to have kidneys from a deceased person. Further medical probe reveals that one healthy person whose two kidneys are functioning well can survive with only one kidney and thereby the fact is that the person who is healthy can donate one of the kidneys. This creates an interesting market with living donors and is very popular in many countries. However, a living donor can’t exchange his/her kidneys with the patient whose two kidneys have been damaged because of the medical issues. But, this type of donor may have a match with some other patient and this patient’s living donor can have a match with the former one. This situation can be modeled with house allocation problem where someone having a house(donor) has some other house as his/her preference (other donor) and vice versa. In this paper, a study is carried out in this direction and simultaneous kidney transplantation issue is simulated with largescale implementation. A current research challenge of the kidney exchange problem, namely the incentive issues of the hospitals, is explored next and a budget feasible mechanism is proposed.
肾脏交换问题及其近期挑战的研究
双肾受损的人很难活下来。在这种情况下,一个早期的想法是从死者身上取肾。进一步的医学调查表明,一个健康的人,如果他的两个肾脏功能良好,他可以只用一个肾脏生存,因此事实是,健康的人可以捐出其中一个肾脏。这为活体捐赠者创造了一个有趣的市场,在许多国家都很受欢迎。然而,活体捐赠者不能与两个肾脏因医疗问题而受损的患者交换肾脏。但是,这种类型的供体可能与其他病人匹配,而这个病人的活体供体可能与前者匹配。这种情况可以用房屋分配问题来建模,即拥有一所房子的人(捐赠者)有另一所房子作为他/她的偏好(其他捐赠者),反之亦然。本文就这一方向进行了研究,对同步肾移植问题进行了模拟,并进行了大规模实施。接下来探讨当前肾脏交换问题的研究挑战,即医院的激励问题,并提出一个预算可行的机制。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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