HLA matching in renal transplantation

Academic Article


  • To the Editor: The competing goals of justice and optimal outcome in the allocation of cadaveric kidneys were addressed in the September 22 issue of the Journal.1—3 Takemoto and coauthors accept the premise that current policies place black candidates for transplantation at a disadvantage.1 They propose a revised HLA-based system with broader categories of acceptable mismatches, allowing more candidates to receive kidneys, and they estimate that such a scheme would improve graft survival for all recipients. However, on closer examination, the proposal offers only marginal improvement in outcomes for black transplant recipients and fails to anticipate the effect of. © 1995, Massachusetts Medical Society. All rights reserved.
  • Published In

    Digital Object Identifier (doi)

    Author List

  • Gaston RS; Deierhoi MH; Ayres I; Takemoto S; Terasaki PI; Gjertson DW; Cecka JM; Held PJ; Port FK; Hunsicker LG
  • Start Page

  • 752
  • End Page

  • 753
  • Volume

  • 332
  • Issue

  • 11