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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

Johan De Meester, Guido G. Persijn, Frans H. J. Claas and Ulrich Frei

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, . . . [Full Text of this Article]

Remaining problems

Eligibility criteria and minimal listing criteria for renal transplantation: new concept — new rule for waiting time?

High urgency kidney transplantation: old concept—new rule?

ET senior programme: old-for-old concept

Immunological matching: matchability concept

Conclusion

References


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Nephrol Dial TransplantHome page
D. Palmes, H. H. Wolters, J. Brockmann, N. Senninger, H.-U. Spiegel, and K.-H. Dietl
Strategies for compensating for the declining numbers of cadaver donor kidney transplants
Nephrol. Dial. Transplant., April 1, 2004; 19(4): 952 - 962.
[Abstract] [Full Text] [PDF]