A review of utility-based allocation strategies to maximize graft years of deceased donor kidneys

被引：7

作者：

Lim, Wai H. ^{[1
,2
]}

Chadban, Steve ^{[2
,5
]}

Campbell, Scott ^{[2
,6
]}

Cohney, Solomon ^{[2
,7
]}

Russ, Graeme ^{[2
,3
,4
]}

McDonald, Stephen ^{[2
,3
,4
]}

机构：

[1] Sir Charles Gairdner Hosp, Dept Renal Med, Perth, WA, Australia

[2] Royal Adelaide Hosp, ANZDATA Registry, Adelaide, SA 5000, Australia

[3] Royal Adelaide Hosp, Serv Nephrol, Adelaide, SA 5000, Australia

[4] Royal Adelaide Hosp, Transplantat Serv, Adelaide, SA 5000, Australia

[5] Royal Prince Alfred Hosp, Renal Unit, Sydney, NSW, Australia

[6] Princess Alexandra Hosp, Renal Unit, Brisbane, Qld 4102, Australia

[7] Royal Melbourne Hosp, Renal Unit, Melbourne, Vic, Australia

来源：

NEPHROLOGY | 2011年 / 16卷 / 04期

关键词：

age-matching; ANZDATA registry; equity; renal transplant; utility; EUROTRANSPLANT SENIOR PROGRAM; EXPANDED CRITERIA DONORS; RENAL-TRANSPLANTATION; RECIPIENT AGE; SURVIVAL; OLDER; DIALYSIS; OUTCOMES; CANDIDATES; IMPACT;

D O I：

10.1111/j.1440-1797.2011.01445.x

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

With the continuing shortage of deceased donor kidneys coupled with a growing number of older potential recipients, there has been a greater acceptance of using older donor kidneys, including increased utility of expanded criteria donor (ECD) kidneys. In this review, we will look at the impact of using ECD kidneys on graft and patient survival, and to identify modifiable factors that may improve transplant outcomes in recipients receiving ECD kidneys. In addition, we will discuss whether the implementation of utility-based allocation strategies to maximize graft outcomes is an appropriate way forward to provide a better balance between utility and equity in the distribution of deceased donor kidneys.

引用

页码：368 / 376

页数：9

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