Saturday, February 21, 2026

Fast and slow dissemination of new ideas in medicine and economics (one timeline:)

There are many differences between medicine and economics, but one of the most striking is the speed of publication. 

I publish papers in both fields, so I get to experience very different speeds, of publication and response. Publishing (and therefore also responding--both positively and negatively ) is much slower in economics than in medicine.  I've been noticing this because of recent attention to a paper I coauthored that was published in November, 2025, in the journal Transplantation. (It had been submitted in January, was revised and accepted in March, and was published online in May.)  In December the journal created and distributed to its subscriber list a narrated video abstract of the paper. You can find the video here https://vimeo.com/1146995735/486989e95c?fl=pl&fe=sh

 Our paper suggested ways that information revealed during deceased organ allocation could be used to evaluate organ quality, and expedite (i.e. speed up) the allocation process for organs at risk of being unused.  And the first published response, just three month later, suggests how such information could be used in India.

Early Refusal Pattern Phenotyping as a Surrogate for Organ Quality Assessment in Kidney Allocation
Kashiv, Pranjal MD, DM1,2; Pasari, Amit MD, DM2,3; Balwani, Manish MD, DM2,3; Kute, Vivek MD, DM4
Transplantation ():10.1097/TP.0000000000005664, February 09, 2026. | DOI: 10.1097/TP.0000000000005664

"We read with interest the recent article by Guan et al,1 which provides a comprehensive and methodologically thoughtful assessment of refusal behavior in deceased donor kidney allocation. Their distinction between single-patient and multiple-patient simultaneous refusals, derived through timestamp-based clustering, offers a methodologically robust framework that elevates routine offer-response data into a meaningful surrogate for real-time assessment of organ suitability. This approach is particularly valuable in allocation environments where decisions must be made under substantial time pressure and with incomplete ancillary information.

...

" Their observations offer global relevance and hold potential for strengthening allocation efficiency in India’s evolving deceased donor landscape." 

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Earlier:

Here's the blog post that accompanied the publication online... 

Friday, May 23, 2025  Deceased organ allocation: deciding early when to move fast

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