Declined Offers for Deceased Donor Kidneys Are Not an Independent Reflection of Organ Quality.

ABSTRACT:

Background

Deceased donor kidney offers are frequently declined multiple times before acceptance for transplantation, despite significant organ shortage and long waiting times. Whether the number of times a kidney has been declined, reflecting cumulative judgments of clinicians, is associated with long-term transplant outcomes remains unclear.

Methods

In this national, retrospective cohort study of deceased donor kidney transplants in the United States from 2008 to 2015 (n=78,940), we compared donor and recipient characteristics and short- and long-term graft and patient survival outcomes grouping by the sequence number at which the kidney was accepted for transplantation. We compared outcomes for kidneys accepted within the first seven offers in the match-run, after

SUBMITTER: King KL 

PROVIDER: S-EPMC8785847 | biostudies-literature | 2021 Nov

REPOSITORIES: biostudies-literature