Revision of the Portuguese Rules for the Selection of the Donor‐Recipient Pair in Kidney Transplantation
Palavras-chave:
Donor Selection, Kidney Transplantation, Portugal, Resource Allocation, Tissue and Organ ProcurementResumo
The process of reviewing and updating the rules for the selection of donor‐recipient pairs in transplantation is underway, 16 years after the implementation of the current rules. Shortly after the implementation of the 2007 rules, some voices questioned the effectiveness of their results. Therefore, in addition to technical and scientific advances, the errors identified in the past should also serve as lessons learned for this new process underway.
We hope that the current review will lead to simpler, more transparent and fairer allocation rules for such a precious commodity as deceased donor kidneys for transplantation.
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Referências
Gabinete do Ministro da Saúde, Despacho no 6537/2007. Diário da República, 2a série, 2007.
Gabinete do Ministro da Saúde, Despacho no 10507/2000. Diário da República, 2a série, 2000.
Gabinete da Secretária de Estado da Promoção da Saúde. Despacho no 5908/2023, Diario da Républica, 2a serie, 2023.
Gonçalves JA, Jorge C, Atalaia A, Matias P, Bruges M, Birne R, et al. New law of renal transplantation in portugal associated with more acute rejection episodes and higher costs. Transplant Proc. 2012; 44:2276–9. doi: 10.1016/j.transproceed.2012.07.060.
Lima BA, Alves H. Selection of Donor‐Recipient Pairs in Renal Transplantation: Comparative Simulation Results. Acta Med Port. 2017; 30:854–60. doi: 10.20344/amp.8992.
Lima BA, Mendes M, Alves H. Kidney Transplant allocation in Portugal. Port J Nephrol Hypert. 2013; 27:313–6.
Lima BA, Mendes M, Alves H. Measuring kidney transplantation activity. Port J Nephrol Hypert. 2014; 28:171–6.
Jorge C. Is Kidney Transplantation the Most Sustainable Modality for Stage 5 Chronic Kidney Disease Treatment? Port J Nephrol Hypert. 2023; 37:3–6.
Fonseca NM. Open data on kidney transplantation. Port J Nephrol Hypert. 2017; 31:321.
Lima BA. A call for open data of renal transplantation in Portugal. Port J Nephrol Hypert. 2017; 31:155–7.
Lima BA, Henriques T, Reis F, Alves H. Transplant Open Registry Initiative. Port J Nephrol Hypert. 2022; 36:201–6. doi: 10.32932/ pjnh.2022.10.204.
Sampaio S. The Portuguese kidney transplant allocation system – a change is needed. Port J Nephrol Hypert. 2018; 32:365–6.
Lima BA, Alves H. Access to kidney transplantation: a bioethical perspective. Port J Nephrol Hypert. 2020; 34:76–8. doi: 10.32932/ pjnh.2020.07.070.
Leal R, Pardinhas C, Martinho A, Sá HO, Figueiredo A, Alves R. Strategies to Overcome HLA Sensitization and Improve Access to Retransplantation after Kidney Graft Loss. J Clin Med. 2022; 11:1–14. doi: 10.3390/jcm11195753.
Leal R. The failing renal graft: A new chapter for CKD patients. Port J Nephrol Hypert. 2020; 34:73–5. doi: 10.32932/pjnh.2020.07.069.
Malheiro J, Tafulo S. Clinical implications of anti‐HLA antibodies testing in kidney transplantation. Port J Nephrol Hypert. 2018; 32:5–14.
Lima BA, Alves H. Portuguese calculated panel reactive antibodies online estimator. HLA. 2019; 93:445–50. doi: 10.1111/tan.13516.
Lima BA, Mendes M, Alves H. Hypersensitized candidates to kidney transplantation in Portugal. Port J Nephrol Hypert. 2013; 27:77–81.
Fonseca NM, Nolasco F. Kidney allocation: new contributions to an ongoing challenge. Acta Med Port. 2017; 30:833–4. doi: 10.20344/amp.9947.
Lima BA, Reis F, Alves H, Henriques TS. Equity matrix for kidney transplant allocation. Transpl Immunol. 2023; 81:101917. doi: 10.1016/j.trim.2023.101917.
Lima BA, Alves H. Looking for proposals on a new kidney allocation system. Port J Nephrol Hypert. 2019; 33:75–6. doi: 10.32932/ pjnh.2019.04.015.
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Direitos de Autor (c) 2024 Bruno A. Lima, Helena Alves (Author)
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