Nephrol Dial Transplant (2000) 15: 333-338
© 2000 European Renal Association-European Dialysis and Transplant Association
Invited Comments
In the queue for a cadaver donor kidney transplant: new rules and concepts in the Eurotransplant International Foundation
Eurotransplant International Foundation, Leiden, The Netherlands
Correspondence and offprint requests to: Dr. G. G. Persijn, Eurotransplant International Foundation, P.O. Box 2304, 2301 CH Leiden, The Netherlands.
Queuing is accepted as long as one knows, understands and follows the rules. The waiting for a kidney transplant does not get around this basic concept. A lot of energy has been put into the development of rules, mainly dedicated to the process of kidney allocation, aiming at an optimal proportion between justice and efficiency [1]the medical ethical criteria. Additionally, the allocation programme had to be supported by the vast majority of the renal transplant programmes involved, and to be perceived as fair and equitable by all potential transplant candidates and society. Whereas in earlier times the allocation algorithms and their adjustments were made by common sense, intuition and scientific progress, nowadays one advocates the use of computer simulation studies, which are more capable of predicting the outcome of a particular system and/or proposed change [2,3].
The new allocation system of Eurotransplant
In March 1996, the international organ exchange organisation,
Remaining problems
Eligibility criteria and minimal listing criteria for renal transplantation: new concept new rule for waiting time?
High urgency kidney transplantation: old conceptnew rule?
ET senior programme: old-for-old concept
Immunological matching: matchability concept
Conclusion
References
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