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|Title:||A review of utility-based allocation strategies to maximize graft years of deceased donor kidneys|
|Citation:||Nephrology, 2011; 16(4):368-376|
|Publisher:||Blackwell Publishing Asia|
|Wai H. Lim, Steve Chadban, Scott Campbell, Solomon Cohney, Graeme Russ and Stephen McDonald|
|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.|
|Keywords:||Age-matching; ANZDATA registry; equity; renal transplant; utility|
|Rights:||© 2011 The Authors. Nephrology © 2011 Asian Pacific Society of Nephrology|
|Appears in Collections:||Medicine publications|
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