A review of utility-based allocation strategies to maximize graft years of deceased donor kidneys

Wai H. Lim, Steve Chadban, Scott Campbell, Solomon Cohney, Graeme Russ, Stephen McDonald

Research output: Contribution to journalReview articlepeer-review

5 Citations (Scopus)

Abstract

With the continuing shortage of deceased donor kidneys coupled with a growing number of older potential recipients, there has been a greater acceptance of using older donor kidneys, including increased utility of expanded criteria donor (ECD) kidneys. In this review, we will look at the impact of using ECD kidneys on graft and patient survival, and to identify modifiable factors that may improve transplant outcomes in recipients receiving ECD kidneys. In addition, we will discuss whether the implementation of utility-based allocation strategies to maximize graft outcomes is an appropriate way forward to provide a better balance between utility and equity in the distribution of deceased donor kidneys. Lim et al. perform a retrospective analysis of the Australia and New Zealand Dialysis and Transplant Registry, examining outcomes in renal transplantation using extended criteria donors. They provide an argument for the implementation of utility-based allocation strategies to maximize graft outcomes in Australia and New Zealand, possibly providing a better balance between utility and equity in the distribution of deceased donor kidneys.

Original languageEnglish
Pages (from-to)368-376
Number of pages9
JournalNephrology
Volume16
Issue number4
DOIs
Publication statusPublished or Issued - 1 May 2011
Externally publishedYes

Keywords

  • ANZDATA registry
  • age-matching
  • equity
  • renal transplant
  • utility

ASJC Scopus subject areas

  • Nephrology

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