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November 13, 1981

Organ Donor Recruitment

JAMA. 1981;246(19):2157-2158. doi:10.1001/jama.1981.03320190017017

Need for Organ Donors  The quality of life of patients with end-stage renal disease on a hemodialysis regimen has improved steadily in recent years, and the incidence of renal transplantation procedures has been constant. The latter has been both because the quality of life after transplantation remains imperfect and donor organs are in short supply. Nevertheless, renal transplantation frees the patient from his dialysis apparatus and is less costly than long-term hemodialysis: the extra cost of surgery is offset by dialysis savings within 18 months after transplantation. It is likely that new improvements in the control of the rejection phenomenon during the next few years will further enhance the desirability of this option for at least half of those approximately 50,000 Americans now undergoing long-term hemodialysis.The imminent acceptance of cardiac transplantation as a reimbursable procedure will further increase the demand for brain-death donors. The major limiting factor in the