New French heart allocation system: Comparison with Eurotransplant and US allocation systems

Richard Dorent, Carine Jasseron, Benoît Audry, Florian Bayer, Camille Legeai, Christelle Cantrelle, Jacqueline M. Smits, Howard Eisen, Christian Jacquelinet, Pascal Leprince, Olivier Bastien

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)1236-1243
Number of pages8
JournalAmerican Journal of Transplantation
Volume20
Issue number5
DOIs
StatePublished - May 1 2020

All Science Journal Classification (ASJC) codes

  • Immunology and Allergy
  • Transplantation
  • Pharmacology (medical)

Fingerprint Dive into the research topics of 'New French heart allocation system: Comparison with Eurotransplant and US allocation systems'. Together they form a unique fingerprint.

Cite this