The allocation of cadaveric kidneys

Article Abstract:

The US should continue to allocate many donated kidneys to patients within the same region the kidney was donated. This is an exception to federal regulations which require organs to be given to the sickest patients no matter where they lived. However, a 1999 study showed that this policy is not cost-effective because the costs of long-term organ storage and preservation were too high. The most cost-effective policy was to allocate the organ locally. National allocation can still be used, especially when the donated kidney is immunologically compatible with the intended recipient.

Economic aspects, Kidneys, Kidney transplantation, Resource allocation

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Allocating livers - devising a fair system

Article Abstract:

In 1997, the Department of Health and Human Services will issue regulations on the allocation of donated livers. Livers are allocated using special algorithms created by the United Network for Organ Sharing (UNOS). UNOS operates the national Organ Procurement and Transplantation Network under federal contract. Mickey Mantle's liver transplant led many to wonder if he received special treatment. Since organ donation is voluntary, it relies on trust between patients and their families and physicians. A fair allocation system will ensure that the system maintains its credibility.

Social policy, Liver, Liver transplantation, United Network for Organ Sharing

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Nondirected donation of kidneys from living donors

Article Abstract:

A group consisting of doctors, transplant coordinators, a social worker, a bioethicist, a psychologist, a hospital administrator and an attorney present their recommendations for soliciting kidney donations from donors who are not related to the patient. They believe this policy should be restricted to kidney donations until more experience is gained from other donated organs from living donors.

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