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OPTN/SRTR 2013 Annual Data Report: kidney.
Am J Transplant. 2015 Jan; 15 Suppl 2:1-34.AJ

Abstract

A new kidney allocation system, expected to be implemented in late 2014, will characterize donors on a percent scale (0%-100%) using the kidney donor profile index (KDPI). The 20% of deceased donor kidneys with the greatest expected posttransplant longevity will be allocated first to the 20% of candidates with the best expected posttransplant survival; kidneys that are not accepted will then be offered to remaining 80% of candidates. Waiting time will start at the time of maintenance dialysis initiation (even if before listing) or at the time of listing with an estimated glomerular filtration rate of 20 mL/min/1.73 m(2) or less. Under the current system, the number of candidates on the waiting list continues to increase, as each year more candidates are added than are removed. Median waiting times for adults increased from 3 years in 2003 to more than 4.5 years in 2009. Donation rates have not increased. Short-term outcomes continue to improve; death-censored graft survival at 90 days posttransplant was 97% or higher for deceased donor transplants and over 99% for living donor transplants. In 2013, 883 pediatric candidates were added to the waiting list; 65.8% of pediatric candidates on the list in 2013 underwent deceased donor transplant. Five-year graft survival was highest for living donor recipients aged younger than 11 years (89%) and lowest for deceased donor recipients aged 11 to 17 years (68%).

Authors+Show Affiliations

Scientific Registry of Transplant Recipients, Minneapolis Medical Research Foundation, Minneapolis, MN; Department of Surgery, University of Minnesota, Minneapolis, MN.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

25626344

Citation

Matas, A J., et al. "OPTN/SRTR 2013 Annual Data Report: Kidney." American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons, vol. 15 Suppl 2, 2015, pp. 1-34.
Matas AJ, Smith JM, Skeans MA, et al. OPTN/SRTR 2013 Annual Data Report: kidney. Am J Transplant. 2015;15 Suppl 2:1-34.
Matas, A. J., Smith, J. M., Skeans, M. A., Thompson, B., Gustafson, S. K., Stewart, D. E., Cherikh, W. S., Wainright, J. L., Boyle, G., Snyder, J. J., Israni, A. K., & Kasiske, B. L. (2015). OPTN/SRTR 2013 Annual Data Report: kidney. American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons, 15 Suppl 2, 1-34. https://doi.org/10.1111/ajt.13195
Matas AJ, et al. OPTN/SRTR 2013 Annual Data Report: Kidney. Am J Transplant. 2015;15 Suppl 2:1-34. PubMed PMID: 25626344.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - OPTN/SRTR 2013 Annual Data Report: kidney. AU - Matas,A J, AU - Smith,J M, AU - Skeans,M A, AU - Thompson,B, AU - Gustafson,S K, AU - Stewart,D E, AU - Cherikh,W S, AU - Wainright,J L, AU - Boyle,G, AU - Snyder,J J, AU - Israni,A K, AU - Kasiske,B L, PY - 2015/1/29/entrez PY - 2015/1/30/pubmed PY - 2015/10/30/medline KW - End-stage renal disease KW - kidney transplant KW - organ allocation KW - waiting list SP - 1 EP - 34 JF - American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons JO - Am. J. Transplant. VL - 15 Suppl 2 N2 - A new kidney allocation system, expected to be implemented in late 2014, will characterize donors on a percent scale (0%-100%) using the kidney donor profile index (KDPI). The 20% of deceased donor kidneys with the greatest expected posttransplant longevity will be allocated first to the 20% of candidates with the best expected posttransplant survival; kidneys that are not accepted will then be offered to remaining 80% of candidates. Waiting time will start at the time of maintenance dialysis initiation (even if before listing) or at the time of listing with an estimated glomerular filtration rate of 20 mL/min/1.73 m(2) or less. Under the current system, the number of candidates on the waiting list continues to increase, as each year more candidates are added than are removed. Median waiting times for adults increased from 3 years in 2003 to more than 4.5 years in 2009. Donation rates have not increased. Short-term outcomes continue to improve; death-censored graft survival at 90 days posttransplant was 97% or higher for deceased donor transplants and over 99% for living donor transplants. In 2013, 883 pediatric candidates were added to the waiting list; 65.8% of pediatric candidates on the list in 2013 underwent deceased donor transplant. Five-year graft survival was highest for living donor recipients aged younger than 11 years (89%) and lowest for deceased donor recipients aged 11 to 17 years (68%). SN - 1600-6143 UR - https://www.unboundmedicine.com/medline/citation/25626344/OPTN/SRTR_2013_Annual_Data_Report:_Kidney_ L2 - https://doi.org/10.1111/ajt.13195 DB - PRIME DP - Unbound Medicine ER -