Graft allocation rules for heart transplantation are necessary because of the shortage of heart donors, resulting in high waitlist mortality. The Agence de la biomédecine is the agency in charge of the organ allocation system in France. Assessment of the 2004 urgency-based allocation system identified challenging limitations. A new system based on a score ranking all candidates was implemented in January 2018. In the revised system, medical urgency is defined according to candidate characteristics rather than the treatment modalities, and an interplay between urgency, donor-recipient matching, and geographic sharing was introduced. In this article, we describe in detail the new allocation system and compare these allocation rules to Eurotransplant and US allocation policies.

中文翻译：

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新的法国心脏分配系统：与欧洲移植和美国分配系统的比较。

心脏移植的移植物分配规则是必要的，因为心脏供体短缺，导致等待名单死亡率高。Agence de la biomedecine 是法国负责器官分配系统的机构。对 2004 年基于紧急情况的分配系统的评估确定了具有挑战性的局限性。2018 年 1 月实施了一个基于分数对所有候选人进行排名的新系统。在修订后的系统中，医疗紧迫性是根据候选人特征而不是治疗方式来定义的，并且紧迫性、捐助者-接受者匹配和地理共享之间的相互作用是介绍。在本文中，我们详细描述了新的分配系统，并将这些分配规则与 Eurotransplant 和美国的分配政策进行了比较。