Association of Kidney Transplant Center Volume With 3-Year Clinical Outcomes.

ABSTRACT:

Rationale & objective

A robust relationship between procedure volume and clinical outcomes has been demonstrated across many surgical fields. This study assessed whether a center volume-outcome relationship exists for contemporary kidney transplantation, specifically for diabetic recipients, older recipients (aged ≥65 years), and recipients of high kidney donor profile index (KDPI ≥ 85) kidneys.

Study design

Retrospective cohort study.

Setting & participants

Adult kidney-only transplant recipients who underwent transplantation between 2009 and 2013 (N = 79,581).

Exposures

The primary exposure variable was center volume, categorized into quartiles based on the total kidney transplantation volume. Quartile 1 (Q1) centers performed a mean of fewer than 66 kidney t

SUBMITTER: Sonnenberg EM 

PROVIDER: S-EPMC6756929 | biostudies-literature | 2019 Oct

REPOSITORIES: biostudies-literature