The impact of nonidentical ABO deceased donor kidney transplant on kidney utilization

TitleThe impact of nonidentical ABO deceased donor kidney transplant on kidney utilization
Publication TypeJournal Article
Year of Publication2010
AuthorsKayler LK, Segev DL
JournalAm J Kidney Dis
Volume56
Issue1
Pagination95 - 101
Date PublishedJul
ISSN1523-6838 (Electronic) 0272-6386 (Linking)
Accession Number20347513
Keywords*Tissue Donors, ABO Blood-Group System / *blood, Adolescent, Adult, Aged, Cohort Studies, Female, Follow-Up Studies, Humans, Kidney / metabolism, Kidney Transplantation / *methods / *utilization, Male, Middle Aged, Retrospective Studies, Tissue and Organ Procurement / *methods / *utilization, Young Adult
Abstract

BACKGROUND: Blood type AB kidney transplant candidates have the shortest waiting times, yet the current allocation system allows allocation of type A donor kidneys to type AB recipients. STUDY DESIGN: United Network for Organ Sharing/Organ Procurement and Transplantation Network data between 1995 and 2004, retrospective observational study. SETTING & PARTICIPANTS: 189,773 candidates listed for kidney-only transplant; 93,604 kidneys transplanted, 15,580 kidneys discarded. PREDICTOR: Blood type and demographic/clinical variables. OUTCOMES & MEASUREMENTS: The extent of disparities in waiting times and concurrent differences in recovery, discard, live donor, and deceased donor transplant rates. RESULTS: Blood type O, A, B, and AB candidates constituted 48%, 34%, 14%, and 4% of the list, respectively. Live donor transplant rates were lowest for type AB candidates (13.4% vs 15.5%, 16.8%, and 15.2%; P

DOI10.1053/j.ajkd.2010.01.014
Notify Library Reference ID779

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