PMID- 15084947 OWN - NLM STAT- MEDLINE DCOM- 20040430 LR - 20190713 IS - 0041-1337 (Print) IS - 0041-1337 (Linking) VI - 77 IP - 4 DP - 2004 Feb 27 TI - It takes six to boogie: allocating cadaver kidneys in Eurotransplant. PG - 615-7 AB - In March 1996, a new allocation point system for cadaver kidneys, the Eurotransplant (ET) Kidney Allocation System (KAS), was introduced in ET, the first multinational organ exchange organization. The aims of ETKAS were to reduce average and maximum waiting time, to allow patients with rare human leukocyte antigen (HLA) phenotypes or combinations to receive an "optimal" offer, to keep the exchange rates between the participating countries balanced, and finally to keep optimal graft survival, by means of HLA matching. Elderly patients and highly sensitized patients profit in addition from special programs, the ET Senior Program and the Acceptable Mismatch Program, respectively. All kidneys are offered to the pool and are allocated according to the degree of HLA matching, mismatch probability, waiting time, distance from the donor center, and balance between the countries participating in ET. A summary of 6 years' experience with the ETKAS is presented in this article. FAU - Doxiadis, Ilias I N AU - Doxiadis II AD - Eurotransplant Reference Laboratory, Leiden, The Netherlands. doxiadis@lumc.nl FAU - Smits, Jacqueline M A AU - Smits JM FAU - Persijn, Guido G AU - Persijn GG FAU - Frei, Ulrich AU - Frei U FAU - Claas, Frans H J AU - Claas FH LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Transplantation JT - Transplantation JID - 0132144 SB - IM MH - Cadaver MH - Europe MH - Histocompatibility Testing/methods/trends MH - Humans MH - *Kidney MH - *Kidney Transplantation MH - *Resource Allocation MH - Waiting Lists EDAT- 2004/04/16 05:00 MHDA- 2004/05/01 05:00 CRDT- 2004/04/16 05:00 PHST- 2004/04/16 05:00 [pubmed] PHST- 2004/05/01 05:00 [medline] PHST- 2004/04/16 05:00 [entrez] AID - 00007890-200402270-00028 [pii] AID - 10.1097/01.tp.0000103725.72023.d7 [doi] PST - ppublish SO - Transplantation. 2004 Feb 27;77(4):615-7. doi: 10.1097/01.tp.0000103725.72023.d7.