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Correspondence
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Volume 351:935-937 August 26, 2004 Number 9
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Donor Exchange for Renal Transplantation

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 by Delmonico, F. L.
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To the Editor: The Perspective article by Delmonico (April 29 issue)1 prompts us to report on the Dutch Living Donor Kidney Exchange program. Since January 1, 2004, all seven transplantation centers in the Netherlands have cooperated in this common protocol. The Dutch Transplant Foundation is responsible for allocation on an anonymous basis, the approach generally preferred by our patients.2 Allocation is determined according to the following hierarchy of factors: blood type (first identical, and then compatible); match probability (derived from the prevalence of HLA antigens in the kidney-exchange donor pool and the unacceptable HLA antigens of the recipient); and then . . . [Full Text of this Article]


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