A proposal for improved cadaver kidney allocation.
The allocation of cadaver kidneys for transplantation should have two objectives: a fair distribution of kidneys among the waiting recipients and a high success rate.
Currently, organ exchange organizations are following mainly a policy of success oriented allocation in that the kidneys are distributed according to the best achievable HLA match.
A consequence of this policy is that patients with rare HLA phenotypes experience prolonged waiting times and that there are large kidney exchange imbalances among transplant centers.
Based on theoretical considerations, we described previously the selection routine COMB which was aimed at decreasing excessive waiting times.
Mots-clés Pascal : Homotransplantation, Rein, Affectation, Organe, Donation organe, Programme sanitaire, Homme, Sélection, Temps attente, Allemagne, Europe, Transplantation, Chirurgie
Mots-clés Pascal anglais : Homotransplantation, Kidney, Allocation, Organ, Organ gift, Sanitary program, Human, Selection, Waiting time, Germany, Europe, Transplantation, Surgery
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 94-0163591
Code Inist : 002B27C. Création : 199406.