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ARTICLE |

The Selection of Cadaver Kidney Recipients FREE

David S. Fryd, PhD
JAMA. 1988;259(6):840-840. doi:10.1001/jama.1988.03720060012012
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To the Editor.  —The Task Force on Organ Transplantation1 wanted to improve matching of donors and recipients as well as access to organs by groups at special disadvantage, and thereby improve the outcome of organ transplantation. Mandatory sharing of six-antigen matches will definitely improve matching. There is also no doubt that the point system recently described by Starzl et al,2 and adopted by the United Network for Organ Sharing as the basis for sharing organs, will improve access for disadvantaged groups and patients with medical emergencies. However, will the point system lower the national outcome results?One problem is that low-risk candidates waiting for kidneys may have to become higher risk before they have enough points to receive kidneys. Let us consider where the points come from in nationally shared kidneys. Since medical emergencies are rare, most persons are close to a transplant center, and all nationally shared

REFERENCES

Task Force on Organ Transplantation: Organ Transplantation: Issues and Recommendations . US Dept of Health and Human Services, Health Resources and Services Administration, 1986;,p7.
Starzl TE, Hakala TR, Tzakis A, et al:  A multifactorial system for equitable selection of cadaver kidney recipients. JAMA 1987;;257:3073-3075.
Terasaki PI, Cecka M, Berne T, et al:  The Los Angeles Transplant Society , in Terasaki PI (ed): Clinical Transplants 1986 . Regents of the University of California, 1986;, pp 61-67.
Sanfilippo F, Vaughn WK, LeFor WM, et al:  Multivariate analysis of risk factors in cadaver donor kidney transplantation. Transplantation 1986;;42:28-34.
Hennige M, Kohler CO, Opelz G:  Multivariate prediction model of kidney transplant success rates. Transplantation 1986;;42:491-493.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

Task Force on Organ Transplantation: Organ Transplantation: Issues and Recommendations . US Dept of Health and Human Services, Health Resources and Services Administration, 1986;,p7.
Starzl TE, Hakala TR, Tzakis A, et al:  A multifactorial system for equitable selection of cadaver kidney recipients. JAMA 1987;;257:3073-3075.
Terasaki PI, Cecka M, Berne T, et al:  The Los Angeles Transplant Society , in Terasaki PI (ed): Clinical Transplants 1986 . Regents of the University of California, 1986;, pp 61-67.
Sanfilippo F, Vaughn WK, LeFor WM, et al:  Multivariate analysis of risk factors in cadaver donor kidney transplantation. Transplantation 1986;;42:28-34.
Hennige M, Kohler CO, Opelz G:  Multivariate prediction model of kidney transplant success rates. Transplantation 1986;;42:491-493.
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