Send to

Choose Destination
See comment in PubMed Commons below
Transplantation. 2003 Nov 15;76(9):1385-8.

Geographic disparities in access to organ transplant in France.

Author information

  • 1Public Health, Henri Mondor, AP-HP, Paris, France.



Allocation of organs is organized on a regional basis in France. We assessed regional differences in access to organ transplant.


We used the recipient database and the waiting list database from the year 1994 onward. We estimated median waiting time by region and organ. The probability of receiving a transplant was estimated using the Kaplan-Meier method. Between-region comparisons used the log-rank test, with adjustment for blood type and disease category.


At the end of a 4-month follow-up period, 49% of 3,553 patients had received transplants: 64% of 797 benefited from liver transplants, 52% of 549 from heart transplants, and 22% of 2,207 from kidney transplants. Death rates on the waiting lists were 10%, 14%, and 1% for patients selected for liver, heart, and kidney transplant, respectively. Transplantation percentage (all organs) decreased from 63% in the West to 43% in the Paris region and mortality increased from 2% in the West to 7% in the Southeast. All tests of inter-regional differences were statistically significant.


Factors explaining geographic differences related to the background of transplant teams, activity of organ procurement, and severity of patients on the list.

[PubMed - indexed for MEDLINE]
PubMed Commons home

PubMed Commons

How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Lippincott Williams & Wilkins
    Loading ...
    Support Center