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The principal aim of our paper2 was to compare the current Portuguese kidney allocation system (KAS) on transplantation with other two systems: the United Kingdom KAS and the EuroTransplant system. We did not describe an alternative way to design a proposal for a new KAS. In fact, we did not question, at any moment, possible ways to define models for a new KAS. A new set of rules on donor-recipient pair selection in kidney transplantation is urgently needed, and to achieve this goal distinct sources can be used: evaluation of different data models, a systematic literature review; an idea based on empirical knowledge; or a consensus established at a brainstorm with a selected group of experts. We just want to see any proposal for a new KAS published as a peer review paper before is published in the Official Gazette of Portugal. Also, any proposal for a new KAS has to be submitted to a set of simulations in order to predict its outcomes as far as possible. Only publishing a new proposal in a peer reviewed paper will allow public scrutiny of its merits and its assessment with data from different sources.

Looking for proposals on a new kidney allocation system