Trends in kidney transplantation and living donor nephrectomy in Germany: a total population analysis from 2006 to 2021.

ABSTRACT:

Purpose

To analyze recent trends of surgical access routes, length of hospital stay (LOS), and mortality in kidney transplantation (KT) and living donor nephrectomy (LDN) in Germany.

Materials and methods

We studied the nationwide German hospital billing database and the German hospital quality reports from 2006 to 2021.

Results

There were a total of 35.898 KTs. In total, 9044 (25%) were living donor transplantations, while 26.854 (75%) were transplantations after donation after brain death (DBD). The share of open LDN decreased from 82% in 2006 to 22% in 2020 (- 4%/year; p < 0.001). The share of laparoscopic LDN increased from 18% in 2006 to 70% in 2020 (+ 3%/year; p < 0.001). The share of robotic LDN increased from 0% in 2006 to 8% in 2020 (+ 0.6%/year; p < 0.001).

SUBMITTER: Zacharis A 

PROVIDER: S-EPMC10781803 | biostudies-literature | 2024 Jan

REPOSITORIES: biostudies-literature