New French heart allocation system: Comparison with Eurotransplant and US allocation systems

被引：43

作者：

Dorent, Richard ^{[1
]}

Jasseron, Carine ^{[1
]}

Audry, Benoit ^{[1
]}

Bayer, Florian ^{[1
]}

Legeai, Camille ^{[1
]}

Cantrelle, Christelle ^{[1
]}

Smits, Jacqueline M. ^{[2
]}

Eisen, Howard ^{[3
]}

Jacquelinet, Christian ^{[1
]}

Leprince, Pascal ^{[4
]}

Bastien, Olivier ^{[1
]}

机构：

[1] Agence Biomed, Direct Prelevement Greffe Organes Tissus, La Plaine St Denis, France

[2] Eurotransplant Int Fdn, Leiden, Netherlands

[3] Penn State Univ, Inst Heart & Vasc, Div Cardiol, Hershey, PA USA

[4] UPMC, Pitie Salpetriere Hosp, AP HP, Dept Thorac & Cardiovasc Surg, Paris, France

来源：

AMERICAN JOURNAL OF TRANSPLANTATION | 2020年 / 20卷 / 05期

关键词：

ethics and public policy; health services and outcomes research; heart transplantation; cardiology; organ allocation; organ procurement and allocation; waitlist management; TRANSPLANT CANDIDATES; ORGAN ALLOCATION; MORTALITY;

D O I：

10.1111/ajt.15816

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Graft allocation rules for heart transplantation are necessary because of the shortage of heart donors, resulting in high waitlist mortality. The Agence de la biomedecine is the agency in charge of the organ allocation system in France. Assessment of the 2004 urgency-based allocation system identified challenging limitations. A new system based on a score ranking all candidates was implemented in January 2018. In the revised system, medical urgency is defined according to candidate characteristics rather than the treatment modalities, and an interplay between urgency, donor-recipient matching, and geographic sharing was introduced. In this article, we describe in detail the new allocation system and compare these allocation rules to Eurotransplant and US allocation policies.

引用

页码：1236 / 1243

页数：8

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