Acceptance of High Kidney Donor Profile Index Kidneys Among Consented Candidates.

ABSTRACT:

Introduction

The Kidney Donor Profile Index (KDPI) is a percentile score based on the relative risk of allograft failure for deceased donor kidneys, where higher scores indicate shorter estimated allograft longevity. The Organ Procurement and Transplantation Network policy requires patients to proactively opt-in via written consent to receive offers for "high-KDPI" (> 85%) kidneys before being considered for organs in this category.

Methods

This retrospective cohort study examined United States (US) candidates and recipients from 2012 to 2022 to determine if consent for less-than-ideal organs impacted organ allocation, efficiency, and utilization.

Results

Among 138,242 deceased donor transplants, 7031 (5%) were from KDPI of 80% to 85% kidneys, 4847 (4%) from KDPI of 8

SUBMITTER: Yu M 

PROVIDER: S-EPMC12446953 | biostudies-literature | 2025 Sep

REPOSITORIES: biostudies-literature