TY - JOUR
T1 - New French heart allocation system
T2 - Comparison with Eurotransplant and US allocation systems
AU - Dorent, Richard
AU - Jasseron, Carine
AU - Audry, Benoît
AU - Bayer, Florian
AU - Legeai, Camille
AU - Cantrelle, Christelle
AU - Smits, Jacqueline M.
AU - Eisen, Howard
AU - Jacquelinet, Christian
AU - Leprince, Pascal
AU - Bastien, Olivier
N1 - Publisher Copyright:
© 2020 The American Society of Transplantation and the American Society of Transplant Surgeons
PY - 2020/5/1
Y1 - 2020/5/1
N2 - Graft allocation rules for heart transplantation are necessary because of the shortage of heart donors, resulting in high waitlist mortality. The Agence de la biomédecine 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.
AB - Graft allocation rules for heart transplantation are necessary because of the shortage of heart donors, resulting in high waitlist mortality. The Agence de la biomédecine 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.
UR - http://www.scopus.com/inward/record.url?scp=85080974176&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85080974176&partnerID=8YFLogxK
U2 - 10.1111/ajt.15816
DO - 10.1111/ajt.15816
M3 - Article
C2 - 32037718
AN - SCOPUS:85080974176
SN - 1600-6135
VL - 20
SP - 1236
EP - 1243
JO - American Journal of Transplantation
JF - American Journal of Transplantation
IS - 5
ER -