At the end of 4 years of consensus building and two public forums, it is disappointing we have not implemented a better allocation algorithm for kidney transplants. However, the process has been instructive, and a clear path forward is evident. The current national allocation system no longer provides an adequate algorithm for allocating an increasingly limited and diverse donor pool of kidneys to an increasingly older group of recipients. This system has resulted in donor kidneys with excellent predicted longevity being transplanted into recipients with poor expected posttransplant survival.
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Peter G. Stock (2009) studied this question.