LAUSR

Key Points Question How does allocating a deceased donor kidney to a patient on the preemptive waiting list compare with allocating to a patient already receiving dialysis in terms of quality-adjusted life years (QALYs) and cost? Findings In this decision analytical model, net QALYs were 0.39 less and net costs were $54 100 more when a deceased donor kidney was allocated to a patient on the preemptive waiting list vs to someone already receiving dialysis. Meaning These findings suggest that advocating for greater preemptive deceased donor kidney transplantation at a time when many patients are receiving dialysis and waiting for transplantation may result in fewer net QALYs and greater cost from a societal perspective.