Association of Pretransplant Coronary Heart Disease Testing With Early Kidney Transplant Outcomes.

ABSTRACT:

Importance

Testing for coronary heart disease (CHD) in asymptomatic kidney transplant candidates before transplant is widespread and endorsed by various professional societies, but its association with perioperative outcomes is unclear.

Objective

To estimate the association of pretransplant CHD testing with rates of death and myocardial infarction (MI).

Design, setting, and participants

This retrospective cohort study included all adult, first-time kidney transplant recipients from January 2000 through December 2014 in the US Renal Data System with at least 1 year of Medicare enrollment before and after transplant. An instrumental variable (IV) analysis was used, with the program-level CHD testing rate in the year of the transplant as the IV. Analyses were stratified

SUBMITTER: Cheng XS 

PROVIDER: S-EPMC9857067 | biostudies-literature | 2023 Feb

REPOSITORIES: biostudies-literature