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Table 4 Comparison between the Israeli National Transplant Center’s point system and public preferences

From: Attitudes, knowledge, and preferences of the Israeli public regarding the allocation of donor organs for transplantation

Scenario #

Description

Survey results

The point system decisiona

1

Patient A is 30 years old.

Patient B is 45 years old.

Patient A- 20%

Patient B- 5%

No preference- 71.5%

Patient A

2.9 points

Patient B

1.4 points

2

Patient A’s prognosis for a successful transplant is 70%. He has spent 4 years on the waiting list.

Patient B’s prognosis for a successful transplant is 90%. He has spent 1 year on the waiting list.

Patient A- 39%

Patient B- 45%

No preference- 12%

Patient A

3.92 points

Patient B

4.48 points

3

Patient A is a registered organ donor. He is 40 years old.

Patient B has not signed an organ donor card. He is 20 years old.

Patient A- 36%

Patient B- 20%

No preference- 41%

Patient A

3.9 points

Patient B

3.9 points

4

Patient A has a 70% chance of finding another suitable kidney in the coming year. He is a registered organ donor.

Patient B has a 30% chance of finding another suitable kidney in the coming year. He has not signed an organ donor card.

Patient A- 40%

Patient B- 36%

No preference- 21%

Patient A

4 points

Patient B

4 points

5

Patient A is a registered organ donor. He has spent 1 year on the waiting list.

Patient B has not signed an organ donor card. He has spent 4 years on the waiting list.

Patient A- 23%

Patient B- 53%

No preference- 21%

Patient A

2.48 points

Patient B

1.92 points

6

Patient A’s prognosis for a successful transplant is 70%. He is a registered organ donor.

Patient B’s prognosis for a successful transplant is 90%. He has not signed an organ donor card.

Patient A- 27%

Patient B- 51%

No preference- 19%

Patient A

4 points

Patient B

4 points

  1. a In the case of a dilemma, in which the point system assigns equal scores to two or more patients (i.e., points are assigned for age, donor status, HLA match, PRA level), the National Transplant Center seeks expert advice in order to hold a medical debate and to decide which patient should receive the organ