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Improving Equity of Access to Deceased Donor Kidneys in New Zealand

end-stage renal failure in patients who are medically suitable. Morbidity and mortality are clearly reduced for patients who have undergone successful kidney transplantation compared with patients who remain on dialysis. Reducing time spent on dialysis or avoiding dialysis altogether also are associated with reduced morbidity and mortality. Unfortunately, a shortage of deceased donor kidneys means that many people spend years waiting for a kidney transplant. Organ allocation schemes, while doing nothing to directly address the problem of organ shortages, should provide transparency and fairness in their responsibilty for allocating these scarce resources to all people needing organ transplants.