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Recipients of well-matched kidneys received locally require less long-term care

the availability of organs. The government's revised requirements state that organs should be distributed "over as broad a geographic area as feasible," so that patients who need them most get them.

Schnitzler notes, however, that additional analyses from his study which was funded by pharamaceutical companies, suggests that any expansion of current regions would cost taxpayers millions of dollars without necessarily improving the outcome of patients. As organs are shipped distances and accumulate time out of body, they slowly degrade.

"The longer an organ is stored, the worse the outcome of the patient. More medicine is required, and more money is spent," Schnitzler says. "When we combined the question of matching and the issue of cold time, we found local allocation is the best economically."


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Contact: Nicole Vines
vinesn@medicine.wustl.edu
314-286-0115
Washington University School of Medicine
3-Nov-1999


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