| Literature DB >> 32037718 |
Richard Dorent1, Carine Jasseron1, Benoît Audry1, Florian Bayer1, Camille Legeai1, Christelle Cantrelle1, Jacqueline M Smits2, Howard Eisen3, Christian Jacquelinet1, Pascal Leprince4, Olivier Bastien1.
Abstract
Graft allocation rules for heart transplantation are necessary because of the shortage of heart donors, resulting in high waitlist mortality. The Agence de la biomédecine is the agency in charge of the organ allocation system in France. Assessment of the 2004 urgency-based allocation system identified challenging limitations. A new system based on a score ranking all candidates was implemented in January 2018. In the revised system, medical urgency is defined according to candidate characteristics rather than the treatment modalities, and an interplay between urgency, donor-recipient matching, and geographic sharing was introduced. In this article, we describe in detail the new allocation system and compare these allocation rules to Eurotransplant and US allocation policies.Entities:
Keywords: ethics and public policy; health services and outcomes research; heart transplantation/cardiology; organ allocation; organ procurement and allocation; waitlist management
Mesh：
Year: 2020 PMID： 32037718 DOI： 10.1111/ajt.15816
Source DB: PubMed Journal: Am J Transplant ISSN： 1600-6135 Impact factor: 8.086