scholarly journals Simulating the New Kidney Allocation Policy in the United States: Modest Gains and Many Unknowns

2014 ◽  
Vol 25 (8) ◽  
pp. 1617-1619 ◽  
Author(s):  
Jesse D. Schold ◽  
Peter P. Reese
Keyword(s):  
United States ◽  
The United States ◽  
Allocation Policy ◽  
Kidney Allocation

scholarly journals Unintended Consequences of the New National Kidney Allocation Policy in the United States

2015 ◽  
Vol 15 (9) ◽  
pp. 2465-2469 ◽  
Author(s):  
A. R. Tambur ◽  
K. M. K. Haarberg ◽  
J. J. Friedewald ◽  
J. R. Leventhal ◽  
M. F. Cusick ◽  
...  
Keyword(s):  
United States ◽  
The United States ◽  
Unintended Consequences ◽  
Allocation Policy ◽  
Kidney Allocation

scholarly journals Simultaneous Liver Kidney Allocation Policy and the Safety Net: An Early Examination of Utilization and Outcomes in the United States

2021 ◽  
Author(s):  
Peter J Altshuler ◽  
Ashesh P Shah ◽  
Adam M Frank ◽  
Jaime Glorioso ◽  
Hien Dang ◽  
...  
Keyword(s):  
United States ◽  
Safety Net ◽  
The United States ◽  
Allocation Policy ◽  
Kidney Allocation

scholarly journals Changes in the United States Adult Heart Allocation Policy

2020 ◽  
Vol 13 (10) ◽  
Author(s):  
Supriya Shore ◽  
Jessica R. Golbus ◽  
Keith D. Aaronson ◽  
Brahmajee K. Nallamothu
Keyword(s):  
United States ◽  
The United States ◽  
Allocation Policy ◽  
Adult Heart

A Critique of UNOS Liver Allocation Policy

1999 ◽  
Vol 8 (3) ◽  
pp. 311-320 ◽  
Author(s):  
KENNETH EINAR HIMMA
Keyword(s):  
United States ◽  
Liver Disease ◽  
Liver Failure ◽  
Chronic Liver Disease ◽  
The United States ◽  
Acute Illness ◽  
Waiting List ◽  
Allocation Policy ◽  
Liver Allocation ◽  
United Network

The United Network for Organ Sharing (UNOS) recently changed the policy by which donor livers are allocated to liver failure patients in the United States. Formerly, all liver failure patients were characterized as status 1 and placed at the top of the transplant list. Under the new policy, only patients with liver failure due to acute illness (“ALF patients”) are eligible for status 1; patients with liver failure due to chronic liver disease (“CLF patients”) are characterized as status 2. Since donor organs are allocated first to status 1 patients and then to status 2 patients, the new policy moves all CLF patients down on the waiting list relative to all ALF patients. This means that some livers that would have gone to CLF patients under the old policy will now go to ALF patients. Accordingly, while the new policy will likely increase the number of ALF patients saved, it will also increase the number of deaths among CLF patients waiting for a transplant.

Putting Patients First in Organ Allocation: An Ethical Analysis of the U.S. Debate

2001 ◽  
Vol 10 (4) ◽  
pp. 365-376 ◽  
Author(s):  
JAMES F. CHILDRESS
Keyword(s):  
United States ◽  
The United States ◽  
Ethical Analysis ◽  
Organ Allocation ◽  
Current Debate ◽  
Ethical Considerations ◽  
Political Factors ◽  
Allocation Policy ◽  
Public Hearings ◽  
The U.S

Organ allocation policy involves a mixture of ethical, scientific, medical, legal, and political factors, among others. It is thus hard, and perhaps even impossible, to identify and fully separate ethical considerations from all these other factors. Yet I will focus primarily on the ethical considerations embedded in the current debate in the United States about organ allocation policy. I will argue that it is important to put patients first—in the language of the title of one of the major public hearings—but even then significant ethical questions will remain about exactly how to put patients first.

scholarly journals New National Allocation Policy for Deceased Donor Kidneys in the United States and Possible Effect on Patient Outcomes

2014 ◽  
Vol 25 (8) ◽  
pp. 1842-1848 ◽  
Author(s):  
Ajay K. Israni ◽  
Nicholas Salkowski ◽  
Sally Gustafson ◽  
Jon J. Snyder ◽  
John J. Friedewald ◽  
...  
Keyword(s):  
United States ◽  
Patient Outcomes ◽  
Deceased Donor ◽  
The United States ◽  
Allocation Policy
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