A modified Kidney Donor Risk Index for pediatric kidney transplant recipients View Full Text


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Article Info

DATE

2022-09-06

AUTHORS

Ashley Montgomery, Cameron Goff, Bolatito Adeyeri, Liam D. Ferreira, Spoorthi Kamepalli, Jake Lynn, Nhu Thao Nguyen Galvan, Poyyapakkam R. Srivaths, Eileen D. Brewer, Abbas Rana

ABSTRACT

BackgroundThe Kidney Donor Risk Index (KDRI) by Rao et al. was developed to measure the quality of kidney allografts. While Rao’s KDRI has been found to be a robust measure of kidney allograft survival for adult kidney transplant recipients, many studies have indicated the need to create a distinct pediatric KDRI.MethodsOur retrospective study utilized data from the United Network for Organ Sharing database. We examined 9295 deceased donor recipients’ data for age < 18 years from 1990 to 2020. We performed a multivariate Cox regression to determine the significant recipient and transplant factors impacting pediatric kidney allograft survival.ResultsMultivariate analysis found 5 donor factors to be independently associated with graft failure or recipient death: age, female sex, anoxia as the cause of death, history of cigarette use, and cold ischemia time. Using receiver operator characteristic (ROC) curve analysis and analyzing the predictive value of each KDRI at 1, 5, and 10 years, the proposed pediatric KDRI had a statistically significant and higher predictive value for pediatric recipients at 5 (0.60 versus 0.57) and 10 years (0.61 versus 0.57) than the Rao KDRI.ConclusionsThe proposed pediatric KDRI may provide a more accurate and simpler index to assess the quality of kidney allografts for pediatric recipients. However, due to the mild increase in predictive capabilities over the Rao index, the study serves as a proof of concept to develop a pediatric KDRI. Further studies should focus on increasing the index’s predictive capabilities.Graphical abstractA higher resolution version of the Graphical abstract is available as Supplementary information More... »

PAGES

1-9

References to SciGraph publications

  • 2020-01-13. Donor considerations in pediatric kidney transplantation in PEDIATRIC NEPHROLOGY
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00467-022-05722-y

    DOI

    http://dx.doi.org/10.1007/s00467-022-05722-y

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1150792500

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/36066770


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