Preprocurement Pancreas Allocation Suitability Score Does Not Correlate With Long-Term Pancreas Graft Survival

Abstract Backround Within recent years, more marginal donors have been offered to Eurotransplant. To help identify suitable pancreas donors, the Eurotransplant Pancreas Advisory Committee introduced a donor score system (P-PASS). Little is known about the influence of P-PASS on long-term pancreas graft survival. Methods From June 1994 to September 2009, we performed 405 pancreas transplantations. In a retrospective study we analyzed P-PASS in 318 cases. Pancreas grafts from donors with P-PASS < 17 ( n = 146) analyzed for graft and patient survival as well as for surgical complications were compared with donors of a PASS ≥ 17 ( n = 172). The mean follow-up was 7.2 ± 4.3 years. Results Recipient characteristics were comparable in both groups. Mean P-PASS was 16.7 ± 2.7 for both groups: 14.3 ± 1.5 for P-PASS < 17 and 18.8 ± 1.6 for P-PASS ≥ 17. Pancreas graft survival rates for 1, 5, and 10 years were 85%, 77%, and 73% among P-PASS < 17 and 81%, 73%, and 64% among P-PASS ≥ 17 groups ( P = .12). There were 12 (8.2%) cases of venous thrombosis in the