作者: A. J. Matas , J. M. Smith , M. A. Skeans , B. Thompson , S. K. Gustafson
DOI: 10.1111/AJT.13195
关键词: Waiting list 、 Model for End-Stage Liver Disease 、 Dialysis 、 Kidney 、 Donation 、 Renal function 、 End stage renal disease 、 Medicine 、 Surgery 、 Lung allocation score
摘要: A new kidney allocation system, expected to be implemented in late 2014, will characterize donors on a percent scale (0%-100%) using the donor profile index (KDPI). The 20% of deceased kidneys with greatest posttransplant longevity allocated first candidates best survival; that are not accepted then offered remaining 80% candidates. Waiting time start at maintenance dialysis initiation (even if before listing) or listing an estimated glomerular filtration rate 20 mL/min/1.73 m(2) less. Under current number waiting list continues increase, as each year more added than removed. Median times for adults increased from 3 years 2003 4.5 2009. Donation rates have increased. Short-term outcomes continue improve; death-censored graft survival 90 days was 97% higher transplants and over 99% living transplants. In 2013, 883 pediatric were list; 65.8% 2013 underwent transplant. Five-year highest recipients aged younger 11 (89%) lowest 17 (68%).