Graft Survival of En Bloc Deceased Donor Kidneys Transplants Compared With Single Kidney Transplants.

ABSTRACT:

Background

The US Kidney Allocation System allocates en bloc deceased donor kidney grafts from donors <18 kg in sequence A along with single kidney transplants (SKTs) from kidney donor profile index (KDPI) top 20% donors. Although en bloc grafts outperform SKT grafts holding donor weight constant, it is unclear if en bloc grafts from the smallest pediatric donors perform the same as top 20% KDPI SKTs.

Methods

Using the Scientific Registry of Transplant Recipients, we compared the donor characteristics and graft survival of en bloc grafts from the smallest donors (<8 kg) and from larger donors (≥8 kg) with SKTs by KDPI sequence for transplants performed in 2021.

Results

Larger donor en blocs had similar 1-y survival to sequence A SKTs estimated by the Kaplan-Meier meth

SUBMITTER: White MH 

PROVIDER: S-EPMC11424273 | biostudies-literature | 2024 Oct

REPOSITORIES: biostudies-literature