Matching graft to recipient by predicted survival: can this be an acceptable strategy to improve utilization of deceased donor kidneys?

Edwina S. Baskin-Bey, Scott L. Nyberg

Research output: Contribution to journalArticle

12 Scopus citations

Abstract

A new kidney allocation scheme is needed to address the current shortage of deceased donor kidneys for transplantation in the United States. With this goal in mind, we have derived a novel utility-based system to balance supply and demand. Our system uses a North American-based recipient risk score and the deceased donor score to maximize the total number of years of renal allograft function as a means to improve allocation of kidneys from deceased donors. Essentially, donor renal allografts are matched to a wait-listed candidate with similar predicted survival, which poses an ethical issue. However, this novel utility-based system is practical and could improve deceased donor renal allocation by minimizing both waste and need for retransplantation.

Original languageEnglish (US)
Pages (from-to)167-170
Number of pages4
JournalTransplantation Reviews
Volume22
Issue number3
DOIs
StatePublished - Jul 1 2008

ASJC Scopus subject areas

  • Transplantation

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