Increasing kidney supply as the best solution to the allocation problem

  • P. I. Terasaki
  • J. M. Cecka
  • D. W. Gjertson
  • Y. Cho
  • S. Takemoto
Part of the Transplantation and Clinical Immunology book series (TRAC, volume 30)


Numerous allocation schemes have been proposed. The most important feature they have in common is providing a rationale of why one patient receives the kidney, and 35 000 others do not. In the United States in 1998 some 20 000 patients may wait in vain for, despite having a chance to obtain a kidney, they could not … simply because there were not enough kidneys to satisfy the demand. As the disparity between the number of waiting patients and the number who actually receive a kidney widens, allocation formulas become more and more overbearing. Ideally, allocation should be based on what combination would result in the best long-term medical outcome for the patient. As long as the kidney shortage problem continues to worsen, allocation tends to become more and more influenced by extraneous factors, such as donating center points, distance to patient, waiting time, etc.


Living Donor Donor Kidney Cadaver Donor Living Kidney Donor Transplantation Allocation Formula 
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.


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Copyright information

© Springer Science+Business Media Dordrecht 1998

Authors and Affiliations

  • P. I. Terasaki
  • J. M. Cecka
  • D. W. Gjertson
  • Y. Cho
  • S. Takemoto

There are no affiliations available

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