An unfortunate fact of organ transplantation is that there are not enough deceased donor kidneys for everyone who might benefit. How to best allocate such a scarce medical resource remains unclear. In 2004, the Board of the United Network for Organ Sharing/Organ Procurement and Transplant Network (UNOS/OPTN) charged its Kidney Transplantation Committee with conducting a comprehensive review of kidney transplantation in the United States in order to consider possible changes in the allocation of deceased donor kidneys. Since that time, through a series of public hearings, open forums, regional meetings, and a recent Request for Information (RFI) that included a draft allocation proposal, the OPTN and the transplant community have become engaged in an active debate about how deceased donor kidneys should be allocated.
Kidney Allocation Concepts: Request for Information. United Network for Organ Sharing (UNOS). Circulated for consideration September 24, 2008, through December 18, 2008. http://unos.org/SharedContentDocuments/KidneyAllocationSystem—RequestForInformation.pdf. Accessed 31 March 2009.