Center variations in patient selection for simultaneous heart-kidney transplantation.

ABSTRACT: There are no established regulations governing patient selection for simultaneous heart-kidney (SHK) transplantation, creating the potential for significant center-level variations in clinical practice.

Methods

Using the United Network for Organ Sharing (UNOS) Standard Transplant Analysis and Research (STAR) file, we examined practice trends and variations in patient selection for SHK at the center level between January 1, 2004 and March 31, 2019.

Results

Overall, SHK is becoming more common with most centers performing heart transplants also performing SHK. Among patients who underwent heart transplant who were receiving dialysis, the rate of SHK varied from 22% to 86% at the center level. Among patients not on dialysis, the median estimated glomerular filtration rate (eGFR)

SUBMITTER: Shaw BI 

PROVIDER: S-EPMC10067274 | biostudies-literature | 2022 May

REPOSITORIES: biostudies-literature