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Wait List Management

  • John J. Friedewald
  • Darshika Chhabra
  • Baris Ata
Chapter

Abstract

Transplant candidates waiting for a kidney transplant from a deceased donor are registered on a national transplant waiting list, maintained by the United Network for Organ Sharing (UNOS). UNOS matches deceased donor kidneys to recipients, taking into account both efficiency (graft and patient survival) and equity (fair distribution). Organ allocation is a complex system, taking into account blood type, HLA matching, degree of sensitization, pediatric recipients, and time waiting on the list. Listing practices take into account median wait times and allocation variances within the region, as well as list size, while optimizing resource utilization. There is a great disparity in the number of candidates awaiting kidney transplants compared to the number transplanted each year. UNOS is involved in a comprehensive review of the kidney allocation process, working toward improving the current system. The new allocation system would strive to maintain access for all candidates, while trying to maximize outcomes from each kidney.

Keywords

Wait List Transplant Center Deceased Donor Donation After Cardiac Death Organ Procurement Organization 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Abbreviations

CDC

Centers for Disease Control and Prevention

CPRAs

Calculated panel reactive antibodies

DCD

Donation after cardiac death

DSA

Donor service area

ECD

Expanded criteria donors

eGFR

Estimated glomerular filtration rate

EPTS

Estimated posttransplant survival

HLA

Human leukocyte antigen

KDPI

Kidney donor profile index

MPSC

Membership and Professional Standards Committee

NOTA

National Organ Transplant Act

OPO

Organ procurement organization

OPTN

Organ Procurement and Transplantation Network

PRA

Panel reactive antibodies

PSR

Program-specific reports

SCD

Standard criteria donor

SRTR

Scientific Registry of Transplant Recipients

UNOS

United Network for Organ Sharing

WIP

Work-in-progress

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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • John J. Friedewald
    • 1
  • Darshika Chhabra
    • 2
  • Baris Ata
    • 3
  1. 1.Northwestern University Feinberg School of MedicineChicagoUSA
  2. 2.Kidney Transplant Program, Advocate Christ Medical Center, Department of Medicine, Section of NephrologyUniversity of Illinois at ChicagoOak LawnUSA
  3. 3.Booth School of Business, The University of ChicagoChicagoUSA

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