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Wasted Potential: Decoding the Trifecta of Donor Kidney Shortage, Underutilization, and Rising Discard Rates.
- Source :
- Transplantology; Jun2024, Vol. 5 Issue 2, p51-64, 14p
- Publication Year :
- 2024
-
Abstract
- Kidney transplantation is a life-saving intervention for end-stage renal disease; yet, the persistent gap between organ demand and supply remains a significant challenge. This paper explores the escalating discard rates of deceased donor kidneys in the United States to assess trends, discard reasons, demographical differences, and preservation techniques. Data from the Scientific Registry of Transplant Recipients from 2010 to 2021 was analyzed using chi-squared tests for trend significance and logistic regression to estimate odds ratios for kidney discard. Over the last decade, discard rates have risen to 25% in 2021. Most discarded kidneys came from extended criteria donor (ECD) donors and elevated kidney donor profile index (KDPI) scores. Kidney biopsy status was a significant factor and predictor of discard. Discard rates varied greatly between Organ Procurement and Transplantation Network regions. Of reasons for discard, "no recipient located" reached a high of 60%. Additionally, there has been a twofold increase in hypothermic machine perfusion (HMP) since 2010, with transportation difficulties being the main reason for the discard of perfused kidneys. Our findings suggest a need to recalibrate organ utilization strategies, optimize the use of lower-quality kidneys through advanced preservation methods, and address the evolving landscape of organ allocation policies to reduce kidney discard rates. [ABSTRACT FROM AUTHOR]
- Subjects :
- KIDNEY transplantation
PATIENTS
TRANSPLANTATION of organs, tissues, etc.
RECEIVER operating characteristic curves
BODY mass index
ORGAN donor registries
LOGISTIC regression analysis
ORGAN donation
CHI-squared test
DESCRIPTIVE statistics
ODDS ratio
HEALTH equity
DATA analysis software
CONFIDENCE intervals
Subjects
Details
- Language :
- English
- Volume :
- 5
- Issue :
- 2
- Database :
- Complementary Index
- Journal :
- Transplantology
- Publication Type :
- Academic Journal
- Accession number :
- 178184001
- Full Text :
- https://doi.org/10.3390/transplantology5020006