Has the New Kidney Allocation System Benefited Patients?

  • 1 Alejandro Diez, MD, is Assistant Professor of Medicine and transplant nephrologist at Ohio State University. He is also a member of the Organ Procurement and Transplantation Network, Region 10.
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It is well established that kidney transplantation is the treatment of choice for patients with end stage renal disease (ESRD), as this treatment modality has been shown to provide improved patient survival and quality of life compared with dialysis (1). In an ideal system, patients in need of a kidney transplant would receive one as soon as the need arises. Unfortunately, the well-described mismatch between a limited number of available organs and the larger number of patients in need of a transplant makes this impossible, necessitating policies for the allocation of this limited resource. Available organs had been,