Why do we have the kidney allocation system we have today? A history of the 2014 kidney allocation system

被引:53
作者
Stegall, Mark D. [1 ,2 ]
Stock, Peter G. [3 ]
Andreoni, Kenneth [4 ]
Friedewald, John J. [5 ]
Leichtman, Alan B. [6 ]
机构
[1] Mayo Clin, Dept Surg, 200 First St, Rochester, MN 55905 USA
[2] Mayo Clin, Dept Immunol, 200 First St, Rochester, MN 55905 USA
[3] Univ Calif San Francisco, Sch Med, Div Transplant Surg, Dept Surg, 505 Parnassus Ave, San Francisco, CA 94143 USA
[4] Univ Florida, Div Transplant Surg, Dept Surg, 1600 SW Archer Rd, Gainesville, FL 32610 USA
[5] Northwestern Univ, Sch Med, Dept Med, 676 N St Clair St 100, Chicago, IL 60611 USA
[6] Univ Michigan, Sch Med, Dept Med, 1500 E Med Ctr Dr 3, Ann Arbor, MI 48109 USA
关键词
Kidney transplantation; Deceased donor kidney; Deceased donor kidney allocation; Kidney trasplant outcomes; Organ allocation policy; UNOS; OPTN; DECEASED DONOR KIDNEYS; LIFE YEARS; CANDIDATES; TRANSPLANT;
D O I
10.1016/j.humimm.2016.08.008
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
"Those who do not know the past are destined to repeat it". The current system for the allocation of deceased donor kidneys that was implemented in December 2014 (termed the kidney allocation system (KAS)) was the culmination of a decade-long process. Thus, many people involved in transplantation today may not be aware of the underlying concepts and early debates that resulted in KAS. Others who were involved might not remember the details (or have chosen to forget). The goal of this manuscript is to outline the history of the process in order to shed light on why KAS has its current format. (C) 2016 Ameridan Society for Histocompatibility and Immunogenetics. Published by Elsevier Inc. All rights reserved.
引用
收藏
页码:4 / 8
页数:5
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