Health Care Management Science

, Volume 7, Issue 4, pp 331–338

Simulating the Allocation of Organs for Transplantation


  • David Thompson
    • Altarum Institute
  • Larry Waisanen
    • Altarum Institute
  • Robert Wolfe
    • Scientific Registry of Transplant Recipients, Kidney Epidemiology and Cost Center, Department of BiostatisticsUniversity of Michigan
  • Robert M. Merion
    • Scientific Registry of Transplant Recipients, Division of Transplantation, Department of SurgeryUniversity of Michigan Medical School
  • Keith McCullough
    • University Renal Research and Education Association
  • Ann Rodgers
    • University Renal Research and Education Association

DOI: 10.1007/s10729-004-7541-3

Cite this article as:
Thompson, D., Waisanen, L., Wolfe, R. et al. Health Care Manage Sci (2004) 7: 331. doi:10.1007/s10729-004-7541-3


The demand for donated organs greatly exceeds supply and many candidates die awaiting transplantation. Policies for allocating deceased donor organs may address equity of access and medical efficacy, but typically must be implemented with incomplete information. Simulation-based analysis can inform the policy process by predicting the likely effects of alternative policies on a wide variety of outcomes of interest. This paper describes a family of simulations developed by the US Scientific Registry of Transplant Recipients and initial experience in the application of one member of this family, the Liver Simulated Allocation Model (LSAM).


transplantationsimulationorgan allocationorgan distributionend-stage liver diseaseliver transplant
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© Kluwer Academic Publishers 2004