Kidney accelerated placement project: Outcomes and lessons learned. Am J Transplant 2022 Jan;22(1):210-221
Date
09/29/2021Pubmed ID
34582630DOI
10.1111/ajt.16859Scopus ID
2-s2.0-85117821799 (requires institutional sign-in at Scopus site) 13 CitationsAbstract
Opportunities continue to be lost with a high rate of kidneys recovered for transplant but not utilized, particularly those considered less than ideal quality. The Organ Procurement and Transplantation Network (OPTN) Organ Center is tasked with allocating arguably the most difficult-to-place kidneys, and we hypothesized an accelerated placement pathway would increase utilization of kidneys placed by the Organ Center. The Kidney Accelerated Placement (KAP) project, implemented by the Organ Center from July 18, 2019 to July 15, 2020, aimed to offer kidneys with a high kidney donor profile index to programs that had a history of accepting such organs. We compared OPTN kidney match run, donor, and transplant recipient data during the project period and 1 year prior. There was no statistically significant change in the percentage of KAP-eligible donors accepted during the project period (16.4%) compared to the prior year (17.5%). Conversion from acceptance to transplant was higher under KAP (72.7% vs. 71.2%), though not significant. Waiting to accelerate placement after kidneys have been declined by multiple transplant programs locally and regionally is an intervention that may come too late to effectively increase utilization. Transplant rates of nationally shared and marginal kidneys remain a challenge, and future iterations of this project should be investigated.
Author List
Noreen SM, Klassen D, Brown R, Becker Y, O'Connor K, Prinz J, Cooper MAuthor
Matthew Cooper MD Chief, Director, Professor in the Surgery department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
Donor SelectionHumans
Kidney
Kidney Transplantation
Tissue Donors
Tissue and Organ Procurement
