BEGIN:VCALENDAR PRODID:-//eluceo/ical//2.0/EN VERSION:2.0 CALSCALE:GREGORIAN BEGIN:VEVENT UID:2ac2d5adf91d45ecad27118d1e548193 DTSTAMP:20240501T224553Z SUMMARY:Valuing Prearranged Paired Kidney Exchanges: A Stochastic Game Appr oach DESCRIPTION: \n\nAbstract: End-stage renal disease (ESRD) is the ninth-lead ing cause of\ndeath in the U.S. Transplantation is the most viable therapy for ESRD\npatients\, but there is a severe disparity between the demand f or\nkidneys for transplantation and the supply. This shortage is further\n complicated by incompatibilities in blood-type and antigen matching\nbetwe en patient-donor pairs. Paired kidney exchange (PKE)\, a\ncross-exchange o f kidneys among incompatible patient-donor pairs\,\novercomes many difficu lties in matching patients with incompatible\ndonors. PKEs have grown rapi dly over the last two decades. In a PKE\,\ntransplantation surgeries take place simultaneously\, so that no donor\nmay renege after his/her intended recipient receives the organ.\nAlthough others have modeled PKEs\, we are the first to consider\npatient autonomy and the timing of the exchange. A s current PKE\npractice aims to maximize only the number of transplants\, the question\nof determining a more accurate value of a match remains uncl ear.\n\nWe consider a cyclic PKE with an arbitrary number of patients and\ nconstruct life-expectancy-based edge weights under patient autonomy.\nBec ause the patients’ health statuses are dynamic\, and\ntransplantation su rgeries require compatibility between the\npatients’ willingnesses to ex change\, we model the patients’\ntransplant timing decisions as a stocha stic game in which each patient\naims to maximize his/her life expectancy. We explore necessary and\nsufficient conditions for patients’ decisions to be a Nash\nequilibrium\, and formulate a mixed-integer linear programm ing\nrepresentation of equilibrium constraints\, which provides a\ncharact erization of the socially optimal equilibria. We empirically\nconfirm that randomized strategies do not yield a social welfare gain\nover pure strat egies. We also quantify the social welfare loss due to\npatient autonomy a nd demonstrate that maximizing the number of\ntransplants may be undesirab le. Our results highlight the importance\nof the timing of an exchange and disease severity on matching\npatient-donor pairs.\n\nBrief Bio: Murat Ku rt is a Senior Scientist of Outcomes Research at\nMerck & Co. He earned hi s PhD in Industrial Engineering at the\nUniversity of Pittsburgh and serve d as a faculty in Industrial and\nSystems Engineering at the University at Buffalo prior to joining\nMerck. His research interests involve the imple mentation of Markov\ndecision processes and mathematical programming on me dical decision\nmaking\, scheduling and service operations problems. His r esearch in\napplied health sciences span varying contexts from treatment p lanning\nfor Type 2 diabetes and colorectal cancer patients to the timing of\nkidney exchanges for end-stage renal disease patients. His research on \nhealthcare applications has been recognized by the IIE’s Pritsker\nDoc toral Dissertation Prize and INFORMS Service Science Section’s\nBest Pap er Awards.\n DTSTART:20151123T180000Z DTEND:20151123T190000Z LOCATION:Gerri C. LeBow Hall\, 3220 Market Street\, 722\, Philadelphia\, PA 19104 END:VEVENT END:VCALENDAR