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Kidney Allocation Policy Development


The National Organ Transplant Act (NOTA) and Organ Procurement and Transplantation Network (OPTN) final rule require the OPTN to develop medical criteria for equitable organ allocation.

The OPTN/UNOS Kidney Transplantation Committee is charged with reviewing the current kidney allocation system and making recommendations for improvement of the system.


The current kidney allocation system has been in place for over 20 years. During this time, some changes have been made, but the system cannot keep up with current trends in medicine. As waiting times for kidney transplant increase throughout the United States, the need for review of the current system and discussion of possible revisions is great.

Under consideration

The OPTN/UNOS Kidney Transplantation Committee recently requested feedback from the transplant community and the public on a concept document, and is now considering these comments in an evaluation of approaches to kidney allocation. 

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