J Korean Soc Transplant.  2016 Mar;30(1):1-5. 10.4285/jkstn.2016.30.1.1.

Kidney Allocation: Present Status and Future Strategy

Affiliations
  • 1Department of Internal Medicine, Inje University College of Medicine, Busan, Korea. yeonghnl@inje.ac.kr

Abstract

Under conditions of contemporary medicine, organ transplantation is only possible when organs are donated, meaning that the donated organ works both as a scarce resource and for public good. Therefore, the allocation of donated organs should be processed under full justice and must maximize medical utility as well. For the last 15 years, we have been striving for fair allocation of donated organs, and, due to the development of the medical environment, a few alterations of the procedure are required. Here are some suggestions to improve kidney allocation in Korea.

Keyword

Kidney transplantation; Kidney allocation

MeSH Terms

Kidney Transplantation
Kidney*
Korea
Organ Transplantation
Social Justice
Transplants

Reference

1). Organ Procurement and Transplantation Network (OPTN). How organ allocation works [Internet]. Washington, DC: U.S. Department of Health & Human Services;2015. [cited 2016 Jan 20]. Available from:. https://optn.transplant.hrsa.gov.
2). Eurotransplant. Annual Report 2014 [Internet]. Leiden: Eurotransplant International Foundation;2015. [cited 2016 Jan 20]. Available from:. https://www.eurotransplant.org/cms.
3). Korean Network for Organ Sharing (KONOS). 2014 Annual Data Report [Internet]. Seoul: KONOS;2015. [cited 2016 Jan 20]. Available from:. http://konos.go.kr.
4). Park UJ., Kim MY., Kim HT., Cho WH. Validation of the KDRI in Korean deceased donor kidney transplantation. J Korean Soc Transplant. 2014. 28:78–82. (박의준, 김민영, 김형태, 조원현. 한국인의 뇌사자 신기능 평가에서 Kidney Donor Risk Index의 유효성. 대한이식학회지 2014: 28: 78-82.).
Article
5). Han M., Jeong JC., Koo TY., Jeon HJ., Kwon HT., Kim YJ, et al. Kidney donor risk index is a good prognostic tool for graft outcomes in deceased donor kidney transplantation with short, cold ischemic time. Clin Transplant. 2014. 28:337–44.
Article
6). Park UJ., Cho WH., Kim HT., Kim MY., Kim YL., Kim CD, et al. Evaluation of the Korean network for organ sharing expanded donor criteria in deceased donor renal transplantation. J Korean Soc Transplant. 2013. 27:166–73. (박의준, 조원현, 김형태, 김민영, 김용림, 김찬덕 등. 뇌사자 신이식에서 Korean Network for Organ Sharing 확장범주 공여자 기준의 타당성 평가. 대한이식학회지 2013: 27: 166-73.).
Article
7). Park SJ., Kim YW., Yoon YC., Kang SW., Bok CH., Kim YH. Study for the Relationship between the post-transplant renal function and the donor score using deceased donor scoring system. J Korean Soc Transplant. 2009. 23:36–42. (박석주, 김양욱, 윤영철, 강선우, 복춘희, 김영훈. 뇌사자 점수체 계를 이용한 이식신 기능 평가. 대한이식학회지 2009: 23: 36-42.).
8). Dreyer GJ., Hemke AC., Reinders ME., de Fijter JW. Transplanting the elderly: Balancing aging with histocompatibility. Transplant Rev (Orlando). 2015. 29:205–11.
Article
9). Claas FH., Rahmel A., Doxiadis II. Enhanced kidney allocation to highly sensitized patients by the acceptable mismatch program. Transplantation. 2009. 88:447–52.
Article
10). Jang JY., Kim YJ., Kim Y., Park YJ., Han K., Oh EJ. Application of calculated panel reactive antibody using HLA frequencies in Koreans. Ann Lab Med. 2012. 32:66–72.
Article
11). Park MH. Positive rate of KONOS crossmatches among transplants candidates waitlisted for different organs. The 44th Annual Congress of the Korean Society for Transplantation; 2014 Oct 31–Nov 1; Seoul, Korea. Seoul: The Korean Society for Transplantation; 2014. (박명희. 뇌사 자 장기이식을 위한 KONOS 교차시험건수의 효과적인 감소 방안. 2014년도 대한이식학회 제44차 추계학술대회. 2014. .10.31-11.1; 서울, 한국. 서울: 대한이식학회; 2014.).
12). Ahn HS. Hong Chang Eui Pediatrics. 10th ed.Seoul: MiraeN;2012. (안효섭. 홍창의 소아과학. 제10판. 서울: 대한교과서; 2012.).
13). Ortiz-Neira CL., Traubici J., Alan D., Moineddin R., Shuman C., Weksberg R, et al. Sonographic assessment of renal growth in patients with Beckwith-Wiedemann syndrome: the Beckwith-Wiedemann syndrome renal nomogram. Clinics (Sao Paulo). 2009. 6441–4.
Article
14). Mohanka R., Basu A., Shapiro R., Kayler LK. Single versus en bloc kidney transplantation from pediatric donors less than or equal to 15 kg. Transplantation. 2008. 86:264–8.
Article
15). Remuzzi G., Grinyò J., Ruggeneti P., Beatini M., Cole EH., Brenner BM. Early experience with dual kidney transplantation in adults using expanded donor criteria. Double Kidney Transplant Group (DKG). J Am Soc Nephrol. 1999. 10:2591–8.
16). Remuzzi G., Cravedi P., Pema A., Dimitrov BD., Turturro M., Locatelli G, et al. Long-term outcome of renal transplantation from older donors. N Engl J Med. 2006. 354:343–52.
Article
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