Working in collaboration with the provincial living donation programs, the Kidney Paired Donation program serves patients who have a willing living donor with whom they are not medically compatible by finding another pair with whom they can swap donors so both patients receive a transplant.
The registry contains medical information about incompatible pairs of donors and transplant candidates from across Canada and identifies pairs that might be able to exchange kidneys. From there, it’s a matter of finding a suitable exchange and creating “chains” of matching donors and recipients.
The KPD program runs its match cycle algorithm three times a year to compare the medical information on all the pairs and nondirected donors in the Registry and identifies kidney transplant opportunities. Typically, between 140 and 150 pairs and eight NDADs participate in each Match Cycle, and it is expected that results for upcoming Match Cycles will be consistent with this level of participation. The matches proposed in a Match Cycle result in 27 transplants on average, with chains being completed approximately four months from the date they are initially proposed. Just over half (51%) of the transplant candidates who have participated in at least one Match Cycle received a transplant. Many of those who withdrew from the KPD program did so because they received a transplant from another source, including those who received a deceased donor transplant through the HSP program.
Download the 2018 national data report for KPD in English or French: