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Correspondence
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Volume 346:708-709 February 28, 2002 Number 9
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Shipped and Locally Transplanted Renal Allografts

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To the Editor: Mange et al. (Oct. 25 issue)1 report on the survival of shipped and locally transplanted cadaveric renal allografts. On the basis of their findings, the authors conclude that national shipment of such allografts "increases the risk of failure of HLA-mismatched grafts during the first year after transplantation." However, the allocation scheme used for shipping the organs is not apparent. Only 31.4 percent of shipped organs had no HLA mismatches at HLA-A, B, and DR loci. Why were the rest of the kidneys shipped? We assume that they were shipped because HLA matching outside the region was better . . . [Full Text of this Article]

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