Re-transplants compared to primary kidney transplants recipients

A mate kidney paired analysis of the OPTN/UNOS database

Ali K. Khalil, James E. Slaven, Muhammad Mujtaba, Muhammad S. Yaqub, Dennis P. Mishler, Tim E. Taber, Asif A. Sharfuddin

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Outcomes of kidney re-transplant recipients (RTR) were compared to primary recipients (FTR) from paired donor kidneys. Organ Procurement and Transplantation Network (OPTN) database was used to identify deceased donors (n = 6266) who donated one kidney to an RTR and the mate kidney to an FTR between January 2000 to December 2010. As compared to FTR, RTR were younger (45 vs. 52 yr, p <0.001) and had higher proportion of plasma reactive antibody >80 (25% vs 7%, p <0.001). There were higher 0 mismatches in RTR (19% vs. 16%, p <0.001). There were more pre-emptive transplants in RTR (24% vs. 21%, p = 0.002). Delayed graft function (28% vs. 25%, p = 0.007) was higher in RTR. Patient survival was similar in FTR and RTR groups at one, three, and five yr (95.7%, 90.2%, and 82.5% vs. 95.2%, 89.8% and 82.7%). Allograft survival rates were higher in FTR group compared to RTR group at one, three, and five yr (91.1%, 82.4%, and 70.9% vs. 87.8%, 77.4%, and 66.1% p <0.001). Death-censored allograft survival rates were higher in FTR group at one, three, and five yr (91.3%, 82.7% and 71.4% vs. 88%, 77.7% and 66.5% p <0.001). In today's era of modern immunosuppression, graft survival in RTR has improved but remains inferior to FTR when controlling for donor factors.

Original languageEnglish (US)
JournalClinical Transplantation
DOIs
StateAccepted/In press - 2016
Externally publishedYes

Fingerprint

Tissue and Organ Procurement
Organ Transplantation
Databases
Transplants
Kidney
Tissue Donors
Allografts
Survival Rate
Delayed Graft Function
Transplant Recipients
Graft Survival
Immunosuppression
Survival

Keywords

  • UNOS
  • Kidney
  • Outcomes
  • Recipients
  • Retransplant
  • Transplant

ASJC Scopus subject areas

  • Transplantation

Cite this

Re-transplants compared to primary kidney transplants recipients : A mate kidney paired analysis of the OPTN/UNOS database. / Khalil, Ali K.; Slaven, James E.; Mujtaba, Muhammad; Yaqub, Muhammad S.; Mishler, Dennis P.; Taber, Tim E.; Sharfuddin, Asif A.

In: Clinical Transplantation, 2016.

Research output: Contribution to journalArticle

Khalil, Ali K. ; Slaven, James E. ; Mujtaba, Muhammad ; Yaqub, Muhammad S. ; Mishler, Dennis P. ; Taber, Tim E. ; Sharfuddin, Asif A. / Re-transplants compared to primary kidney transplants recipients : A mate kidney paired analysis of the OPTN/UNOS database. In: Clinical Transplantation. 2016.
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abstract = "Outcomes of kidney re-transplant recipients (RTR) were compared to primary recipients (FTR) from paired donor kidneys. Organ Procurement and Transplantation Network (OPTN) database was used to identify deceased donors (n = 6266) who donated one kidney to an RTR and the mate kidney to an FTR between January 2000 to December 2010. As compared to FTR, RTR were younger (45 vs. 52 yr, p <0.001) and had higher proportion of plasma reactive antibody >80 (25{\%} vs 7{\%}, p <0.001). There were higher 0 mismatches in RTR (19{\%} vs. 16{\%}, p <0.001). There were more pre-emptive transplants in RTR (24{\%} vs. 21{\%}, p = 0.002). Delayed graft function (28{\%} vs. 25{\%}, p = 0.007) was higher in RTR. Patient survival was similar in FTR and RTR groups at one, three, and five yr (95.7{\%}, 90.2{\%}, and 82.5{\%} vs. 95.2{\%}, 89.8{\%} and 82.7{\%}). Allograft survival rates were higher in FTR group compared to RTR group at one, three, and five yr (91.1{\%}, 82.4{\%}, and 70.9{\%} vs. 87.8{\%}, 77.4{\%}, and 66.1{\%} p <0.001). Death-censored allograft survival rates were higher in FTR group at one, three, and five yr (91.3{\%}, 82.7{\%} and 71.4{\%} vs. 88{\%}, 77.7{\%} and 66.5{\%} p <0.001). In today's era of modern immunosuppression, graft survival in RTR has improved but remains inferior to FTR when controlling for donor factors.",
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AU - Khalil, Ali K.

AU - Slaven, James E.

AU - Mujtaba, Muhammad

AU - Yaqub, Muhammad S.

AU - Mishler, Dennis P.

AU - Taber, Tim E.

AU - Sharfuddin, Asif A.

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AB - Outcomes of kidney re-transplant recipients (RTR) were compared to primary recipients (FTR) from paired donor kidneys. Organ Procurement and Transplantation Network (OPTN) database was used to identify deceased donors (n = 6266) who donated one kidney to an RTR and the mate kidney to an FTR between January 2000 to December 2010. As compared to FTR, RTR were younger (45 vs. 52 yr, p <0.001) and had higher proportion of plasma reactive antibody >80 (25% vs 7%, p <0.001). There were higher 0 mismatches in RTR (19% vs. 16%, p <0.001). There were more pre-emptive transplants in RTR (24% vs. 21%, p = 0.002). Delayed graft function (28% vs. 25%, p = 0.007) was higher in RTR. Patient survival was similar in FTR and RTR groups at one, three, and five yr (95.7%, 90.2%, and 82.5% vs. 95.2%, 89.8% and 82.7%). Allograft survival rates were higher in FTR group compared to RTR group at one, three, and five yr (91.1%, 82.4%, and 70.9% vs. 87.8%, 77.4%, and 66.1% p <0.001). Death-censored allograft survival rates were higher in FTR group at one, three, and five yr (91.3%, 82.7% and 71.4% vs. 88%, 77.7% and 66.5% p <0.001). In today's era of modern immunosuppression, graft survival in RTR has improved but remains inferior to FTR when controlling for donor factors.

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