A kidney offer acceptance decision tool to inform the decision to accept an offer or wait for a better kidney.

ABSTRACT: We developed a kidney offer acceptance decision tool to predict the probability of graft survival and patient survival for first-time kidney-alone candidates after an offer is accepted or declined, and we characterized the effect of restricting the donor pool with a maximum acceptable kidney donor profile index (KDPI). For accepted offers, Cox proportional hazards models estimated these probabilities using transplanted kidneys. For declined offers, these probabilities were estimated by considering the experience of similar candidates who declined offers and the probability that declining would lead to these outcomes. We randomly selected 5000 declined offers and estimated these probabilities 3 years post-offer had the offers been accepted or declined. Predicted outcomes for declined offers

SUBMITTER: Wey A 

PROVIDER: S-EPMC5859254 | biostudies-literature | 2018 Apr

REPOSITORIES: biostudies-literature