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Arthur J. Matas, MD; Vivian A. Tellis, MD
Montefiore Medical Center Albert Einstein College of Medicine Bronx, NY

JAMA. 1987;258(10):1328.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

We have read with interest the article by Starzl et al¹ about a multifactorial system for the selection of recipients of cadaver donor kidneys. The article is the first to describe a widely applicable system for organ distribution. The described system gives points for time on the waiting list (rank order, ten points for the patient longest on the list), HLA antigen match (two points for each matched antigen), panel reactive antibody (PRA) number (one point for each 10%), medical emergency (zero to ten points), and logistical factors (zero to six points). The authors argue against a system that uses antigen match as the sole or major criterion of recipient selection. We believe that even their system gives too much weight to antigen matching.

With the exception of a six-antigen match, the value of HLA matching is controversial. Recently, Niblack et al, at the 1987 meeting . . . [Full Text PDF of this Article]

Footnotes
Edited by Drummond Rennie, MD, Senior Contributing Editor; Sharon Iverson, Assistant Editor.

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