Diario del páncreas Acceso abierto

Abstracto

Allocation and Distribution of Kidney, Pancreas and Liver

Indra Kiran Masammatikarajulu

Kidney Allocation System (KAS) is the process of matching organ donors with functional kidneys to patients in need of these organs. This system is governed by national networks that evaluate, match, and transplant organs from donors to recipients.

KAS was created in response to higher-than-necessary kidney discard rates, variability in access to transplants for candidates who are more difficult to match due to biologic reasons, inequities caused by how waiting time was calculated, and a matching system that results in unrealized life years and high re-transplant rates. The parts of KAS addressing transplant candidate priority, including EPTS, and assessing donor longevity prospects, including KDPI, will not change as a result of kidney distribution regulations.

The pancreas allocation policy provided OPOs with numerous options for pancreas allocation practice. They might provide kidneypancreas candidates organs based on the KP match run, the kidney alone match run or a mix of match runs.

When a possible liver donor's information is uploaded into the computerized OPTN matching system, the computer eliminates any patients who are not a match due to blood type, body size, or other medical considerations.