A Comparative Study of the Traditional Method, and a Point-Score System for Allocation of Deceased-Donor Kidneys: A National Multicenter Study in Mexico

Cantú Quintanilla, Guillermo Rafael; Alberú-Gomez, Josefina; Reyes-Acevedo, Rafael; Medeiros, Mara; Villa, María De La Salud; Marroquín Arreola, Juan; Gracida, Carmen J.; Reyes-López, Alfonso

doi:10.1016/j.transproceed.2011.09.091

A Comparative Study of the Traditional Method, and a Point-Score System for Allocation of Deceased-Donor Kidneys: A National Multicenter Study in Mexico

Journal

Transplantation Proceedings

ISSN

0041-1345

Date Issued

2011

Author(s)

Alberú-Gomez, Josefina

Reyes-Acevedo, Rafael

Medeiros, Mara

Villa, María De La Salud

Marroquín Arreola, Juan

Gracida, Carmen J.

Reyes-López, Alfonso

Type

Resource Types::text::journal::journal article

DOI

10.1016/j.transproceed.2011.09.091

URL

https://scripta.up.edu.mx/handle/20.500.12552/2413

Abstract

Background: The National Transplant Center in Mexico has ruled that deceased-donor kidney allocation is a function of each hospital's Internal Transplant Committee. The aim of this study was to compare and analyze results for of the traditional method and a point-score system in the allocation of deceased patient's kidneys. Methods: The 12 major kidney transplant centers in the country having a deceased-donor program were invited to participate. Only 3 of them replied to the invitation during 2010. A point-score system was proposed to them, comprising blood group, waiting list time, HLA type, and donor and recipient ages. Once the final recipient was chosen, an explanation of reasons for the choice was requested. Thirty-eight transplants were presented. Kappa coefficient was used to measure degree of agreement in both allocation systems. Organs donated for transplantation came from patients between 4 and 54 years old, including 52% female, 52% O+ blood type, 31% A+, and 11% B+, 44% cranial-encephalic trauma, and 44% brain hemorrhage.