Overview of the Evolution of the UK Kidney Allocation Schemes

AbstractPurpose of ReviewAllocation of deceased donor kidneys for transplantation has evolved since the first utilitarian approach in 1989. This review looks at how the schemes have evolved over the ensuing three decades.Recent FindingsFour kidney offering schemes have been used in the last 30  years. Successive schemes have evolved from offering only one donor kidney for a nationally prioritised patient to offering both kidneys, from addressing only kidneys from donors after brain death (DBD) to offering kidneys from both DBD and circulatory death donors (DCD) and from prioritising pure ly on the basis of zero class 2 and minimising class 1 mismatches to a more relaxed approach for older donors and more difficult to match patients while introducing the concept of longevity matching.SummaryUK kidney offering schemes have evolved through a series of evidence-based analyses to try to optimally address the principles of utility and fairness in kidney offering.
Source: Current Transplantation Reports - Category: Transplant Surgery Source Type: research