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Table 1 Allocation methods compared in the study

From: Deceased donor kidney allocation: an economic evaluation of contemporary longevity matching practices

Option

Allocation method

Current practice

Current kidney allocation method in Australia

1

Allocating the best 20% of KDRI donor kidneys (KDRI ≤0.9148) to the best 20% of EPTS (EPTS ≤1.033) recipients. Remaining 80% of the donor kidneys (KDRI > 0.9148) transplanted to remaining 80% of recipients (EPTS > 1.033) according the current allocation system

2

Allocating the worst 20% of KDRI donor kidneys (KDRI ≥1.7208) to the worst 20% of EPTS (EPTS ≥2.4806) recipients. Remaining 80% of the donor kidneys (KDRI < 1.7208) transplanted to remaining 80% of recipients (EPTS < 2.4806) according the current allocation system

3

Allocating the youngest 25% of donor kidneys (age of the donor ≤32 years) to the youngest 25% (age at transplant ≤41 years) of recipients. Remaining 75% of the donor kidneys (age of the donor > 32 years) transplanted to remaining 75% of recipients (age at transplant > 41 years) according the current allocation system.

4

Allocating the oldest 25% of donor kidneys (age of the donor ≥58 years) to the oldest 25% (age at transplant ≥60 years) of recipients. Remaining 75% of the donor kidneys (age of the donor < 58 years) transplanted to remaining 75% of recipients (age at transplant < 60 years) according the current allocation system

  1. KDRI Kidney donor risk index, EPTS Estimated post-transplant survival