Centers discard high kidney donor profile index (KDPI) allografts, potentially related to delayed graft function and prolonged hospital use by kidney transplant recipients (KTR). We sought to determine whether high KDPI KTRs have excess health care utilization.
We conducted a retrospective cohort study from a high-volume center analyzing KTRs from 1/3/2011 to 4/12/2015 (n = 652). We measured differences in hospital use, emergency visits, and outpatient visits within the first 90 days between low (≤ 85%) vs high KDPI (> 85%) KTRs, as well as long-term graft function and patient survival.
High (n = 107) and low KDPI (n = 545) KTRs had similar length of stay (median = 3 days, p = 0.66), and readmission rates at 7, 30, and 90 days after surgery (all, p>0.05). High KDPI kidneys were not associated with excess utilization of the hospital, emergency services, outpatient transplant clinics, or ambulatory infusion visits on univariate or multivariate analysis (all, p>0.05). Low KDPI KTRs had significantly better eGFR at 2 years (Low vs. High KDPI: 60.35 vs 41.54 ml/min, p0.09).
High and low KDPI KTRs demonstrated similar 90-day risk-adjusted health care utilization, which should encourage use of high KDPI kidneys. This article is protected by copyright. All rights reserved.
This article is protected by copyright. All rights reserved.
About The Expert
Girish Mour
Yu-Hui Chang
Esteban Calderon
James Middleton Chang
Cristine Velazco
Caroline Jadlowiec
Kunam Sudhakar Reddy
Raymond Heilman
Amit K Mathur
References
PubMed