Erschienen in:
12.11.2022 | Editorial Commentary
Transplant access for children: there is more to be done
verfasst von:
Lucy Plumb, Stephen D. Marks
Erschienen in:
Pediatric Nephrology
|
Ausgabe 4/2023
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Excerpt
In a recent article in
Pediatric Nephrology, Charnaya and colleagues [
1] examined the impact of changes in the Kidney Allocation System (KAS) in the USA on access to deceased donor kidney transplantation (DDKT) for children by ethnicity. KAS was introduced in the USA in December 2014, and was developed in response to several concerns including ‘higher-than-necessary’ rates of discarded kidneys, variability in access to transplant for historically disadvantaged patients, such as highly sensitised and non-white candidates, and a general mismatch of organs and candidates resulting in unrealised life years and high re-transplant rates [
2,
3]. KAS sought to ameliorate this situation, improving equity to DDKT by matching high-quality kidneys (assessed using the kidney donor profile index, KDPI) to candidates with the highest estimated post-transplant survival [
4]. …