Geographic distance between donor hospitals and organ procurement organization (OPO) headquarters is not associated with increased deceased donor kidney nonuse.
Kidney Allocation System revision in 2021 (KAS250) initially increased kidney nonuse rates and cold ischemia times, but these metrics improved subsequently.
Nonuse of kidneys from more distant donor hospitals was surprisingly lower than from nearest hospitals, challenging assumptions about logistical challenges based on geography.
Policy and geographic factors interact subtly, underscoring the complexity of optimization in organ allocation and utilization.
