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Using behavioral economics to reduce the discard rate of viable kidneys: Validating new methods to identify factors that influence the acceptance of deceased-donor kidneys

Award Number: R21DK128773
ORGANIZATION: NATIONAL INSTITUTE OF DIABETES & DIGESTIVE & KIDNEY DISEASES
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

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Project Summary Viable kidneys from deceased donors are being discarded while the waitlist of candidates who could use them continues to grow. Though the quality of the offered kidney contributes to the acceptance rate, there exists a large variance in clinicians' decisions. An underlying barrier to improving the allocation and acceptance of deceased-donor kidneys is a lack of a fundamental understanding as to why the refusal rate for similar kidneys is high for some transplant centers, but not others. The premise for our work is that the unexplained heterogeneity in acceptance rates is caused by idiosyncratic preferences and behavioral biases in clinician's decision- making. Although many preferences and biases have been hypothesized to affect clinician's decisions, researchers lack a validated instrument to measure them. We will pilot and validate a platform that will allow us to estimate the influence of a wide range preferences and behavioral biases on acceptance rates. To validate our platform, we will test for correlations between clinicians' risk preferences elicited in a simulated environment to risk preferences from retrospective acceptance behavior in practice.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2024 ( Subtotal = $0 )
2024	2022	ARIZONA STATE UNIVERSITY	660 S MILL AVENUE STE 204	TEMPE	AZ	85281	MARICOPA	USA	Diabetes, Digestive, and Kidney Diseases Extramural Research	000	2	4/12/2024	NON-COMPETING CONTINUATION	$0
														Subtotal = $0

Issue Date FY: 2022 ( Subtotal = $191,681 )
2022	2022	ARIZONA STATE UNIVERSITY	660 S MILL AVE STE 312	TEMPE	AZ	85281	MARICOPA	USA	Diabetes, Digestive, and Kidney Diseases Extramural Research	000	2	5/31/2022	NON-COMPETING CONTINUATION	$191,681
														Subtotal = $191,681

Issue Date FY: 2021 ( Subtotal = $258,183 )
2021	2021	ARIZONA STATE UNIVERSITY	660 S MILL AVE STE 312	TEMPE	AZ	85281	MARICOPA	USA	Diabetes, Digestive, and Kidney Diseases Extramural Research	000	1	6/23/2021	NEW	$258,183
														Subtotal = $258,183

Grand Total All Awards = $449,864

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Using behavioral economics to reduce the discard rate of viable kidneys: Validating new methods to identify factors that influence the acceptance of deceased-donor kidneys

Award Number: R21DK128773

ORGANIZATION: NATIONAL INSTITUTE OF DIABETES & DIGESTIVE & KIDNEY DISEASES

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

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