Kidney exchange programs have been set in several countries within national, regional or hospital frameworks, to increase the possibility of kidney patients being transplanted. For the case of hospital programs, it has been claimed that hospitals would benefit if they collaborated with each other, sharing their internal pools and allowing transplants involving patients of different hospitals. This claim led to the study of multi-hospital exchange markets. We propose a novel direction in this setting by modeling the exchange market as an integer programming game. The analysis of the strategic behavior of the entities participating in the kidney exchange game allowed us to prove that the most rational game outcome maximizes the social welfare and that it can be computed in polynomial time.

Scope and Mission

We consider a Bilevel Integer Programming model that extends the classic 0-1 knapsack problem in a very natural way. The model describes a Stackelberg game where the leader's decision interdicts a subset of the knapsack items for the follower. As this interdiction of items substantially increases the difficulty of the problem, it prevents the application of the classical methods for bilevel programming and of the specialized approaches that are tailored to other bilevel knapsack variants. Motivated by the simple description of the model, by its complexity, by its economic applications, and by the lack of algorithms to solve it, we design a novel viable way for computing optimal solutions. Finally, we present extensive computational results that show the effectiveness of the new algorithm on instances from the literature and on randomly generated instances.