Deceased donor kidneys from higher distressed communities are significantly less likely to be utilized for transplantation.

ABSTRACT: The proportion of kidneys procured for transplantation but not utilized exceeds 20% in the United States. Factors associated with nonutilization are complex, and further understanding of novel causes are critically important. We used the national Scientific Registry of Transplant Recipients data (2010-2022) to evaluate associations of Distressed Community Index (DCI) of deceased donor residence and likelihood of kidney nonutilization (n = 209 413). Deceased donors from higher distressed communities were younger, had an increased history of hypertension and diabetes, were CDC high-risk, and had higher terminal creatinine and donation after brain death. Mechanisms and circumstances of death varied significantly by DCI. The proportion of kidney nonutilization was 19.9%, which increased by DCI

SUBMITTER: Schold JD 

PROVIDER: S-EPMC11934227 | biostudies-literature | 2023 Nov

REPOSITORIES: biostudies-literature