Stegall Mark D, Stock Peter G, Andreoni Kenneth, Friedewald John J, Leichtman Alan B
Department of Surgery, Mayo Clinic, 200 First Street, Rochester, MN 55905, USA; Department of Immunology, Mayo Clinic, 200 First Street, Rochester, MN 55905, USA.
Department of Surgery, Division of Transplant Surgery, University of California San Francisco School of Medicine, 505 Parnassus Avenue, San Francisco, CA 94143, USA.
Hum Immunol. 2017 Jan;78(1):4-8. doi: 10.1016/j.humimm.2016.08.008. Epub 2016 Aug 21.
"Those who do not know the past are destined to repeat it". The current system for the allocation of deceased donor kidneys that was implemented in December 2014 (termed the kidney allocation system (KAS)) was the culmination of a decade-long process. Thus, many people involved in transplantation today may not be aware of the underlying concepts and early debates that resulted in KAS. Others who were involved might not remember the details (or have chosen to forget). The goal of this manuscript is to outline the history of the process in order to shed light on why KAS has its current format.
“忘记过去的人注定会重蹈覆辙”。当前的已故捐赠者肾脏分配系统于2014年12月实施（称为肾脏分配系统（KAS）），这是长达十年进程的 culmination。因此，如今许多参与移植工作的人可能并不了解导致KAS的潜在概念和早期争论。其他参与其中的人可能不记得细节（或者选择忘记）。本手稿的目的是概述这一进程的历史，以便阐明KAS为何采用当前的形式。
“culmination”原意为“顶点；高潮”，这里结合语境意译为“最终成果”之类的表述会更通顺，但按要求不能添加解释或说明，所以保留原文。
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