[Increase kidney transplant: guidelines of Haute Autorité de Santé].
The Haute Autorité de santé, in association with the Agence de la biomédecine, realizes, at the request of the Caisse nationale d'assurance maladie des travailleurs salariés and the Direction générale de l'offre de soins, a medical economic evaluation on treatment's alternative of terminal chronic renal insufficiency. To answer at this request, a multiannual working program was set up. A first part of this work concerned specifically the development of the kidney transplant. Indeed, the kidney transplant occupies a particular place among the various modalities of treatment of the terminal chronic renal insufficiency because it is at the same time the most effective on a medical plan and the least expensive, thus the most efficient. However, its development is constraint by the lack of the transplants and the number of patients registered on the national list of wait increases every year. The objective of this article is to present the method of work as well as the main identified axes of development.
Service évaluation économique et de santé publique, Haute Autorité de santé, 2, avenue du Stade-de-France, 93212 Saint-Denis La Plaine cedex, France. Electronic address: c.sambuc@has-sante.fr.
Cléa
C
Sambuc
Service évaluation économique et de santé publique, Haute Autorité de santé, 2, avenue du Stade-de-France, 93212 Saint-Denis La Plaine cedex, France.
Isabelle
I
Bongiovanni
Coordination nationale REIN, Agence de la biomédecine, Saint-Denis La Plaine, France.
Cécile
C
Couchoud
Pôle organisation et financement des activités de soins, Agence de la biomédecine, Saint-Denis La Plaine, France.
Yoël
Y
Sainsaulieu
Pôle organisation et financement des activités de soins, Agence de la biomédecine, Saint-Denis La Plaine, France.
Christian
C
Jacquelinet
Service évaluation économique et de santé publique, Haute Autorité de santé, 2, avenue du Stade-de-France, 93212 Saint-Denis La Plaine cedex, France.
Olivier
O
Scemama
Service évaluation économique et de santé publique, Haute Autorité de santé, 2, avenue du Stade-de-France, 93212 Saint-Denis La Plaine cedex, France.
Catherine
C
Rumeau-Pichon
D006801:Humans; D007676:Kidney Failure, Chronic / Q000601:surgery*; D016030:Kidney Transplantation; D009927:Tissue and Organ Procurement / Q000458:organization & administration*
Effectiveness; Efficience; End stage renal disease; Equity; Insuffisance rénale chronique terminale; Kidney transplant; Transplantation rénale; Équité