In Reply: We cited prior work by Dr Ross and colleagues in the live organ donor consensus statement, and believe that the points she emphasizes in her letter should be considered by those who wish to develop a program of live donor exchange. The model that Ross and colleagues have developed for an exchange between a living and cadaver donor would enable kidney transplants to be accomplished in circumstances that currently would have permitted none. A live donor would provide a kidney for a patient waiting on the cadaver list in exchange for the pool of cadaver donors providing a kidney for a recipient incompatible with the intended live donor. This option is now available in certain regions of the country. We look forward to considering the Ross model in more detail when the manuscript by Zenios et al1 is published.
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