Recipient Organ Causeofdeath Name Mean (std.)

Transplant-organs are a scarce medical resource. The uniqueness of each organ and the patients' heterogeneous responses to the organs present a unique and challenging machine learning problem. In this problem there are two key challenges: (i) assigning each organ optimally to a patient in the queue; (ii) accurately estimating the potential outcomes associated with each patient and each possible organ. In this paper, we introduce OrganITE, an organ-to-patient assignment methodology that assigns organs based not only on its own estimates of the potential outcomes but also on organ scarcity. By modelling and accounting for organ scarcity we significantly increase total life years across the population, compared to the existing greedy approaches that simply optimise life years for the current organ available. Moreover, we propose an individualised treatment effect model capable of addressing the high dimensionality of the organ space. We test our method on real and simulated data, resulting in as much as an additional year of life expectancy as compared to existing organ-to-patient policies.

Transplant-organs are a scarce medical resource.

This probability is estimated from the data.

This work considers estimating individual treatment effect (ITE) of organ donations --- with respect to scarcity and quality of match for an organ --- in order to maximize mean life expectancy of a population. Common approaches typically include first-come first-serve, local best patient matching, or most acute. Reviewers were uniformly interested in this application area, and the relative potential of machine learning to improve our collective ability to facilitate organ donations. Additionally, the paper overall is well written and reasoned. I would greatly encourage the authors to take into account feedback from the reviewers.

Transplant-organs are a scarce medical resource. The uniqueness of each organ and the patients' heterogeneous responses to the organs present a unique and challenging machine learning problem. In this problem there are two key challenges: (i) assigning each organ "optimally" to a patient in the queue; (ii) accurately estimating the potential outcomes associated with each patient and each possible organ. In this paper, we introduce OrganITE, an organ-to-patient assignment methodology that assigns organs based not only on its own estimates of the potential outcomes but also on organ scarcity. By modelling and accounting for organ scarcity we significantly increase total life years across the population, compared to the existing greedy approaches that simply optimise life years for the current organ available.