Renal transplantation: the last iteration of the rest of the world.
Journal
Current opinion in organ transplantation
ISSN: 1531-7013
Titre abrégé: Curr Opin Organ Transplant
Pays: United States
ID NLM: 9717388
Informations de publication
Date de publication:
01 06 2023
01 06 2023
Historique:
medline:
8
5
2023
pubmed:
31
3
2023
entrez:
30
3
2023
Statut:
ppublish
Résumé
Renal transplantation systems across the world aim to achieve an optimal balance between fair access to deceased donor kidney transplants (equity) and efficient use of organs (utility). Kidney allocation systems are measured across a host of metrics, and there is no single agreed upon definition of success, which looks different for each system depending on the desired balance between equity and utility. This article evaluates the United States renal transplantation system's efforts to balance equity and utility while drawing comparisons to other national systems. The United States renal transplantation system is expected to undergo major changes with the transition to a continuous distribution framework. The continuous distribution framework removes geographic boundaries and takes a flexible and transparent approach to balancing equity and utility. The framework leverages transplant professionals and community members input with mathematical optimization strategies to inform weighting of patient factors to allocate deceased donor kidneys. The United States' proposed continuous allocation framework lays the groundwork for a system allowing transparent balancing of equity and utility. This system approach addresses issues common to those in many other countries.
Identifiants
pubmed: 36995686
doi: 10.1097/MOT.0000000000001059
pii: 00075200-202306000-00011
doi:
Substances chimiques
Repressor Proteins
0
Types de publication
Review
Journal Article
Research Support, U.S. Gov't, P.H.S.
Langues
eng
Sous-ensembles de citation
IM
Pagination
207-211Informations de copyright
Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.
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