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Deceased donor kidney allocation was reorganized in the United States to address several problems, including the highly sensitized patients disadvantaged with large, diverse repertoires of antibodies. Here, five transplant surgeons review their center’s experience with the new allocation changes: highlighting areas of accomplishment, opportunities for improvement and, in some cases, stark differences...
The new UNOS kidney allocation system awards very high points to candidates with cPRA 99% and 100%, and allows for national sharing for cPRA 100% candidates. We sought to determine the effect of this new kidney allocation system on candidates who are very highly sensitized (90–98% cPRA) but not eligible for very high points or national sharing by examining offers to these candidates for 5months pre-implementation...
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