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The longer patients wait for a transplant, the worse the outcome after transplant; Meier-Kriesche et al. 3 ; have shown that waitingtime is the strongest risk factor for posttransplant graft loss. This phenomenon could be used to argue against the allocation of kidneys to patients who have been waiting for prolonged periods. In contrast, Gill et al. 4 ; evaluated the impact of waiting time on the relative survival benefit of transplantation compared to remaining on the waiting list. They used data from the United States Renal Data System to study the outcome of close to 64, 000 patients who were on the waiting list between 1995 and 2000. The reduction in relative risk of death within the first posttransplant year was actually greater in the patients who waited longer than those whose wait was short relative risk [RR] 0.49 for no wait and RR 0.34 for a 3-yr wait, P 0.0006 ; . This phenomenon presumably reflects the higher mortality rate for patients on prolonged dialysis. 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