Perspectives for future development of the paired kidney donation program in France (notice n° 1613517)

détails MARC
000 -LEADER
fixed length control field 02861cam a2200289 4500500
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control field 20260111052913.0
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Language code of text/sound track or separate title fre
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100 10 - MAIN ENTRY--PERSONAL NAME
Personal name Combe, Julien
Relator term author
245 00 - TITLE STATEMENT
Title Perspectives for future development of the paired kidney donation program in France
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Date of publication, distribution, etc. 2022.<br/>
500 ## - GENERAL NOTE
General note 45
520 ## - SUMMARY, ETC.
Summary, etc. Almost one-third of kidney donation candidates are incompatible (HLA and/or ABO) with their directed recipient. Paired kidney donation allows potential donors to be matched and produces compatible kidney transplants. The French Bioethics Law of 2011 allowed paired kidney donation with reciprocity between 2 incompatible “donor-recipient” pairs. A limited number of transplants have been performed due to excessive restrictions compared to other European practices. This study discusses future perspectives in light of the new French Bioethics Law, enacted in 2021, which broadens out the authorized practices for paired kidney donation in France. The two simulated future developments are the increase in the number of pairs involved in a paired kidney donation to 6 (compared to 2 currently), and the use of a deceased donor as a substitution for one of the living donors. Various scenarios are simulated using data from the French Biomedicine Agency: incompatible pairs registered in the paired kidney donation program in France between December 2013 and February 2018 (78 incompatible pairs), incompatible transplants performed during the same period (476 incompatible pairs), and the characteristics of deceased donors and offers made during this period. Increasing the number of pairs has a limited effect on the number of transplants, which increases from 18 (23% of recipients) in the current system to 25 (32% of recipients) when 6 pairs can be involved. The use of a deceased donor significantly increases the number of transplants to 41 (52% of recipients). This study evaluates the increase in possibilities for kidney transplants by paired kidney donation as a result of the new French Bioethics Law. A working group and an information campaign for health professionals and patients will be necessary to support its implementation.
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Hiller, Victor
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Tercieux, Olivier
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Audry, Benoît
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Baudet, Jules
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Malaquin, Géraldine
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Kerbaul, François
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Antoine, Corinne
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Macher, Marie-Alice
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Jacquelinet, Christian
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Bastien, Olivier
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Pastural, Myriam
Relator term author
786 0# - DATA SOURCE ENTRY
Note Néphrologie & Thérapeutique | Volume 18 | 4 | 2022-04-26 | p. 270-277 | 1769-7255
856 41 - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href="https://stm.cairn.info/journal-nephrologie-therapeutique-2022-4-page-270?lang=en&redirect-ssocas=7080">https://stm.cairn.info/journal-nephrologie-therapeutique-2022-4-page-270?lang=en&redirect-ssocas=7080</a>

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