The Kidney Allocation System

John J. Friedewald; Ciara J. Samana; Bert L Kasiske; Ajay K. Israni; Darren Stewart; Wida Cherikh; Richard N. Formica

doi:10.1016/j.suc.2013.08.007

The Kidney Allocation System

John J. Friedewald, Ciara J. Samana, Bert L Kasiske, Ajay K. Israni, Darren Stewart, Wida Cherikh, Richard N. Formica

Medicine - Renal and Hypertension Division

Research output: Contribution to journal › Review article › peer-review

134 Scopus citations

Abstract

The current kidney allocation system for transplants is outdated and has not evolved to reflect the changing demographics of patients on the waiting list. This article proposes a new system for kidney allocation, which more appropriately incorporates the biology of highly sensitized patients into the waiting-time scoring algorithm. This system will significantly reduce mismatches between possible donor kidney longevity and life expectancy of recipients, and makes incremental advances toward more geographic sharing. The proposed system makes significant progress toward eliminating deficiencies in the current system, and has the potential to increase the supply of available kidneys.

Original language	English (US)
Pages (from-to)	1395-1406
Number of pages	12
Journal	Surgical Clinics of North America
Volume	93
Issue number	6
DOIs	https://doi.org/10.1016/j.suc.2013.08.007
State	Published - Dec 2013

Bibliographical note

Funding Information:
This work was conducted under the auspices of the Minneapolis Medical Research Foundation, contractor for the Scientific Registry of Transplant Recipients, as a deliverable under contract no. HHSH250201000018C (US Department of Health and Human Services, Health Resources and Services Administration, Healthcare Systems Bureau, Division of Transplantation). As a US Government-sponsored work, there are no restrictions on its use. The views expressed herein are those of the authors and not necessarily those of the US Government. This work was supported wholly or in part by Health Resources and Services Administration contract 234-2005-370011C . The content is the responsibility of the authors alone and does not necessarily reflect the views or policies of the Department of Health and Human Services, nor does mention of trade names, commercial products, or organizations imply endorsement by the US Government.

Copyright:
Copyright 2014 Elsevier B.V., All rights reserved.

Keywords

Kidney transplant
Organ allocation
Transplant waiting list

Publisher link

10.1016/j.suc.2013.08.007

Find It

Find It at U of M Libraries

Cite this

@article{2b078448b8d445fb9a1966f2f0f0e96a,

title = "The Kidney Allocation System",

abstract = "The current kidney allocation system for transplants is outdated and has not evolved to reflect the changing demographics of patients on the waiting list. This article proposes a new system for kidney allocation, which more appropriately incorporates the biology of highly sensitized patients into the waiting-time scoring algorithm. This system will significantly reduce mismatches between possible donor kidney longevity and life expectancy of recipients, and makes incremental advances toward more geographic sharing. The proposed system makes significant progress toward eliminating deficiencies in the current system, and has the potential to increase the supply of available kidneys.",

keywords = "Kidney transplant, Organ allocation, Transplant waiting list",

author = "Friedewald, {John J.} and Samana, {Ciara J.} and Kasiske, {Bert L} and Israni, {Ajay K.} and Darren Stewart and Wida Cherikh and Formica, {Richard N.}",

note = "Funding Information: This work was conducted under the auspices of the Minneapolis Medical Research Foundation, contractor for the Scientific Registry of Transplant Recipients, as a deliverable under contract no. HHSH250201000018C (US Department of Health and Human Services, Health Resources and Services Administration, Healthcare Systems Bureau, Division of Transplantation). As a US Government-sponsored work, there are no restrictions on its use. The views expressed herein are those of the authors and not necessarily those of the US Government. This work was supported wholly or in part by Health Resources and Services Administration contract 234-2005-370011C . The content is the responsibility of the authors alone and does not necessarily reflect the views or policies of the Department of Health and Human Services, nor does mention of trade names, commercial products, or organizations imply endorsement by the US Government. Copyright: Copyright 2014 Elsevier B.V., All rights reserved.",

year = "2013",

month = dec,

doi = "10.1016/j.suc.2013.08.007",

language = "English (US)",

volume = "93",

pages = "1395--1406",

journal = "Surgical Clinics of North America",

issn = "0039-6109",

publisher = "W.B. Saunders",

number = "6",

}

TY - JOUR

T1 - The Kidney Allocation System

AU - Friedewald, John J.

AU - Samana, Ciara J.

AU - Kasiske, Bert L

AU - Israni, Ajay K.

AU - Stewart, Darren

AU - Cherikh, Wida

AU - Formica, Richard N.

N1 - Funding Information: This work was conducted under the auspices of the Minneapolis Medical Research Foundation, contractor for the Scientific Registry of Transplant Recipients, as a deliverable under contract no. HHSH250201000018C (US Department of Health and Human Services, Health Resources and Services Administration, Healthcare Systems Bureau, Division of Transplantation). As a US Government-sponsored work, there are no restrictions on its use. The views expressed herein are those of the authors and not necessarily those of the US Government. This work was supported wholly or in part by Health Resources and Services Administration contract 234-2005-370011C . The content is the responsibility of the authors alone and does not necessarily reflect the views or policies of the Department of Health and Human Services, nor does mention of trade names, commercial products, or organizations imply endorsement by the US Government. Copyright: Copyright 2014 Elsevier B.V., All rights reserved.

PY - 2013/12

Y1 - 2013/12

N2 - The current kidney allocation system for transplants is outdated and has not evolved to reflect the changing demographics of patients on the waiting list. This article proposes a new system for kidney allocation, which more appropriately incorporates the biology of highly sensitized patients into the waiting-time scoring algorithm. This system will significantly reduce mismatches between possible donor kidney longevity and life expectancy of recipients, and makes incremental advances toward more geographic sharing. The proposed system makes significant progress toward eliminating deficiencies in the current system, and has the potential to increase the supply of available kidneys.

AB - The current kidney allocation system for transplants is outdated and has not evolved to reflect the changing demographics of patients on the waiting list. This article proposes a new system for kidney allocation, which more appropriately incorporates the biology of highly sensitized patients into the waiting-time scoring algorithm. This system will significantly reduce mismatches between possible donor kidney longevity and life expectancy of recipients, and makes incremental advances toward more geographic sharing. The proposed system makes significant progress toward eliminating deficiencies in the current system, and has the potential to increase the supply of available kidneys.

KW - Kidney transplant

KW - Organ allocation

KW - Transplant waiting list

UR - http://www.scopus.com/inward/record.url?scp=84887254569&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84887254569&partnerID=8YFLogxK

U2 - 10.1016/j.suc.2013.08.007

DO - 10.1016/j.suc.2013.08.007

M3 - Review article

C2 - 24206858

AN - SCOPUS:84887254569

SN - 0039-6109

VL - 93

SP - 1395

EP - 1406

JO - Surgical Clinics of North America

JF - Surgical Clinics of North America

IS - 6

ER -

The Kidney Allocation System

Abstract

Bibliographical note

Keywords

Publisher link

Find It

Other files and links

Fingerprint

Cite this