Implications of Accumulated Cold Time for US Kidney Transplantation Offer Acceptance.

ABSTRACT:

Background and objectives

Reducing discard is important for the US transplantation system because nearly 20% of the deceased donor kidneys are discarded. One cause for the discards is the avoidance of protracted cold ischemia times. Extended cold ischemia times at transplant are associated with additional risk of graft failure and patient mortality. A preference for local (within the same donor service area) or low-Kidney Donor Risk Index organs, the endogeneity of cold ischemia time during organ allocation, and the use of provisional offers all complicate the analysis of cold ischemia times' influence on kidney acceptance decision making.

Design, setting, participants, & measurements

Using January 2018 to June 2019 Organ Procurement and Transplantation Network data, we mode

SUBMITTER: Barah M 

PROVIDER: S-EPMC9625102 | biostudies-literature | 2022 Sep

REPOSITORIES: biostudies-literature