Thursday, January 8, 2026 1/8/2026

Optimizing Deceased Donor Kidney Allocation Using Decision Science

Award Number: K23DK133729
ORGANIZATION: NATIONAL INSTITUTE OF DIABETES & DIGESTIVE & KIDNEY DISEASES
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: TRAINING/TRAINEESHIP
PERIOD OF PERFORMANCE START DATE: 08/01/2022
PERIOD OF PERFORMANCE END DATE: 04/30/2026

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Optimizing Deceased Donor Kidney Allocation Using Decision Science - PROJECT SUMMARY/ABSTRACT Although kidney transplantation provides better survival, quality of life, and long-term cost compared to maintenance dialysis, the majority of patients with end-stage kidney disease in the United States will never receive a transplant due to a severe shortage of donated kidneys. In response to this shortage, there has been an increasing emphasis on expanding the use of less-than-ideal deceased donor kidneys, which still provide survival and quality of life benefits over extended waiting time for a higher quality kidney. Despite efforts to increase the aggressiveness of organ recovery and utilization, thousands of likely transplantable kidneys are not recovered or discarded after recovery each year, primarily due to quality concerns. We and others have shown that clinicians’ subjective assessments of organ quality are often too conservative, and that cognitive heuristics impact perception or organ quality and likelihood of organ utilization. A key target for improving perceptions of organ quality is therefore to use decision science to improve the presentation of information during organ offers. The goal of the proposed project is to understand how surgeons prioritize and consume information during organ offer decisions, then use a mechanisms-based approach to target cognitive heuristics that favor inappropriate organ offer refusal. We will begin with improving the presentation of the results of procurement biopsies. Despite reliance on findings from these biopsies— which are the most common reason for deceased donor kidney discard— their independent prognostic capability is limited as they are currently performed. We hypothesize that our approach will enable standardization of procurement biopsy presentation in a manner that reduces deleterious impacts on organ offer acceptance. To complete the proposed project and acquire the skills needed for development into an independent investigator in the field of kidney transplantation, Dr. Husain will work closely with a multidisciplinary team of mentors and advisors, led by Dr. Sumit Mohan, to develop research expertise in the areas of interventional and prospective study design, decision making science & human-centered design, kidney transplant epidemiology, and research dissemination & professional development. Upon completion of this project, he will have the scientific and research expertise needed to be a grant-supported independent investigator in this field.


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: 2026 ( Subtotal = $0 )
2026	2025	NEW YORK UNIVERSITY	550 1ST AVE	NEW YORK	NY	10016	NEW YORK	USA	Diabetes, Digestive, and Kidney Diseases Extramural Research	000	4	12/2/2025	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$0
														Subtotal = $0

Issue Date FY: 2025 ( Subtotal = $181,332 )
2025	2025	NEW YORK UNIVERSITY	550 1ST AVE	NEW YORK	NY	10016	NEW YORK	USA	Diabetes, Digestive, and Kidney Diseases Extramural Research	001	4	7/15/2025	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$181,332
2025	2024	THE TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK	630 W 168TH ST FL 4	NEW YORK	NY	10032	NEW YORK	USA	Diabetes, Digestive, and Kidney Diseases Extramural Research	000	3	7/15/2025	NON-COMPETING CONTINUATION	$0
														Subtotal = $181,332

Issue Date FY: 2024 ( Subtotal = $165,456 )
2024	2024	THE TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK	630 W 168TH ST FL 4	NEW YORK	NY	10032	NEW YORK	USA	Diabetes, Digestive, and Kidney Diseases Extramural Research	000	3	5/14/2024	NON-COMPETING CONTINUATION	$165,456
														Subtotal = $165,456

Issue Date FY: 2023 ( Subtotal = $165,456 )
2023	2023	TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK, THE	630 W 168TH ST FL 4	NEW YORK	NY	10032	NEW YORK	USA	Diabetes, Digestive, and Kidney Diseases Extramural Research	000	2	4/12/2023	NON-COMPETING CONTINUATION	$165,456
														Subtotal = $165,456

Issue Date FY: 2022 ( Subtotal = $165,456 )
2022	2022	TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK, THE	630 W 168TH ST FL 4	NEW YORK	NY	10032	NEW YORK	USA	Diabetes, Digestive, and Kidney Diseases Extramural Research	000	1	7/20/2022	NEW	$165,456
														Subtotal = $165,456

Grand Total All Awards = $677,700

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Optimizing Deceased Donor Kidney Allocation Using Decision Science

Award Number: K23DK133729

ORGANIZATION: NATIONAL INSTITUTE OF DIABETES & DIGESTIVE & KIDNEY DISEASES

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: TRAINING/TRAINEESHIP

PERIOD OF PERFORMANCE START DATE: 08/01/2022

PERIOD OF PERFORMANCE END DATE: 04/30/2026

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