Recent data confirm that deceased donor kidney transplant rates for African-American, Hispanic and Caucasian recipients continue to be proportional to the ethnicity of the waiting list. This improvement in equity became apparent after the implementation of the kidney allocation system (KAS) in December 2014. KAS introduced several policy changes intended to increase equity in access to transplants and promote effective utilization of available organs.
The policy changes with particular relevance for minority candidates included:
- Beginning transplant waiting time from date of first dialysis, not of listing with a transplant hospital
- Allowing blood type B candidates to be considered for kidney offers from donors with blood subtype A2
- Increasing transplant priority for candidates with high immune sensitization
Read more about how policy changes have led to improvements in the kidney allocation system.
Mark Aeder, M.D., former chair of the OPTN Kidney Transplantation Committee talks about the legacy of the kidney allocation system
Journal article shows KAS continuing to benefit equity in access overall four years from implementation