A multifactorial system for equitable selection of cadaver kidney recipients.
During 1986, a total of 270 cadaver renal transplantations were performed at the University of Pittsburgh. Kidneys were allocated by a point system that awarded points to recipients for waiting time, antigen matching, antibody analyses, medical urgency, and logistic practicality. Kidneys were given to patients with the highest point totals in 98% of cases. To our knowledge, this is the first such multifactorial system for cadaver kidney allocation. Possibly it may be modified for extrarenal organs.
Starzl
T E
TE
Hakala
T R
TR
Tzakis
A
A
Gordon
R
R
Stieber
A
A
Makowka
L
L
Klimoski
J
J
Bahnson
H T
HT
D000293:Adolescent; D000328:Adult; D000906:Antibodies / Q000032:analysis; D002102:Cadaver; D002648:Child; D004630:Emergencies; D005260:Female; D006650:Histocompatibility Testing; D006801:Humans; D016030:Kidney Transplantation; D008297:Male; D008875:Middle Aged; D018579:Patient Selection; D010414:Pennsylvania; D013997:Time Factors; D009927:Tissue and Organ Procurement / Q000458:organization & administration*
D000906:Antibodies