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The Importance of Innovative Efforts to Increase Organ Donation
Arthur J. Matas, MD;
David E. R. Sutherland, MD, PhD
JAMA. 2005;294:1691-1693.
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In the United States, patients with end-stage renal disease have 2 treatment options: dialysis or a kidney transplant. Those choosing a transplant have 2 donor choices: a living donor or a deceased donor.
Considerable information has been accumulated to help guide patient choices. Compared with dialysis, a transplant leads to a longer life,1 enhances quality of life,2 and is cost-effective for the health care system.3 Moreover, a living donor transplant (either related or unrelated) leads to better outcomes (patient and graft survival) than a deceased donor transplant.4 Thus, for patients with end-stage renal disease who are medically eligible for a transplant, the best treatment choice is a living donor transplant. In the last 2 decades, it has been recognized that unrelated living donor transplants have results equivalent to related living donor transplants. In 2004, unrelated living donor transplants accounted for . . . [Full Text of this Article]
Author Affiliation: Department of Surgery, University of Minnesota, Minneapolis.
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