TY - JOUR
T1 - Matching graft to recipient by predicted survival
T2 - can this be an acceptable strategy to improve utilization of deceased donor kidneys?
AU - Baskin-Bey, Edwina S.
AU - Nyberg, Scott L.
PY - 2008/7
Y1 - 2008/7
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=45049084096&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=45049084096&partnerID=8YFLogxK
U2 - 10.1016/j.trre.2008.02.005
DO - 10.1016/j.trre.2008.02.005
M3 - Article
C2 - 18631872
AN - SCOPUS:45049084096
SN - 0955-470X
VL - 22
SP - 167
EP - 170
JO - Transplantation Reviews
JF - Transplantation Reviews
IS - 3
ER -