Trends in the Medical Complexity and Outcomes of Medicare-insured Patients Undergoing Kidney Transplant in the Years 1998-2014.

ABSTRACT:

Background

Graft and patient survival following kidney transplant are improving. However, the drivers of this trend are unclear. To gain further insight, we set out to examine concurrent changes in pretransplant patient complexity, posttransplant survival, and cause-specific hospitalization.

Methods

We identified 101 332 Medicare-insured patients who underwent their first kidney transplant in the United States between the years 1998 and 2014. We analyzed secular trends in (1) posttransplant patient and graft survival and (2) posttransplant hospitalization for cardiovascular disease, infection, and cancer using Cox models with year of kidney transplant as the primary exposure of interest.

Results

Age, dialysis vintage, body mass index, and the prevalence of a number of

SUBMITTER: Lenihan CR 

PROVIDER: S-EPMC7688011 | biostudies-literature | 2019 Nov

REPOSITORIES: biostudies-literature