Increase kidney transplant: Guidelines of Haute Autorite de Sante

The Haute Autorite de sante, in association with the Agence de la biomedecine, realizes, at the request of the Caisse nationale d'assurance maladie des travailleurs salaries and the Direction generale de l'offre de soins, a medical economic evaluation on treatment's alternative of terminal chronic renal insufficiency. To answer at this request, a multiannual working program was set up. A first part of this work concerned specifically the development of the kidney transplant. Indeed, the kidney transplant occupies a particular place among the various modalities of treatment of the terminal chronic renal insufficiency because it is at the same time the most effective on a medical plan and the least expensive, thus the most efficient. However, its development is constraint by the lack of the transplants and the number of patients registered on the national list of wait increases every year. The objective of this article is to present the method of work as well as the main identified axes of development. (C) 2014 Association Societe de nephrologie. Published by Elsevier Masson SAS. All rights reserved.