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Updated: Mar 13, 2026

Robot-Assisted Kidney Transplantation
Published on: July 19, 2021
The new kidney allocation system does not equally advantage all very high cPRA candidates - A single center analysis
Amy B Hahn1, Maryanne Mackey1, Don Constantino1
1Transplantation Immunology Laboratory, Department of Surgery, Albany Medical College, 47 New Scotland Avenue, Albany, NY 12208, USA.
Abstract:
The new UNOS kidney allocation system awards very high points to candidates with cPRA 99% and 100%, and allows for national sharing for cPRA 100% candidates. We sought to determine the effect of this new kidney allocation system on candidates who are very highly sensitized (90-98% cPRA) but not eligible for very high points or national sharing by examining offers to these candidates for 5months pre-implementation and two consecutive 5month periods post-implementation and comparing them to cPRA⩾99% candidates. We found that the cPRA⩾99% candidates received significantly more offers and transplants after implementation, while offers and transplants to the 90-98% candidates decreased. A slight adjustment to the allocation system may be needed to provide more equitable distribution of kidneys to all high cPRA candidates.
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