Impact of the kidney allocation system on young pediatric recipients

Impact of the kidney allocation system on young pediatric recipients

The kidney allocation system (KAS) altered pediatric candidate prioritization. We determined KAS's impact on pediatric kidney recipients by examining delayed graft function (DGF) rates from 2010 to 2016. A propensity score‐matched pediatric recipients pre‐ and post‐KAS. A semiparametric decompo...

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Veröffentlicht in:Clinical transplantation 2018-04, Vol.32 (4), p.e13223-n/a
Hauptverfasser: Parker, William Fiske, Ross, Lainie Friedman, Richard Thistlethwaite, J., Gallo, Amy E.
Format: Artikel
Sprache:eng
Schlagworte:
classification systems
delayed graft function
kidney (allograft) function/dysfunction
pediatric transplantation
waitlist management
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Zusammenfassung:The kidney allocation system (KAS) altered pediatric candidate prioritization. We determined KAS's impact on pediatric kidney recipients by examining delayed graft function (DGF) rates from 2010 to 2016. A propensity score‐matched pediatric recipients pre‐ and post‐KAS. A semiparametric decomposition analysis estimated the contributions of KAS‐related changes in donor characteristics and dialysis time on DGF rate. The unadjusted odds of DGF were 69% higher post‐KAS for young (
ISSN:0902-0063
1399-0012
DOI:10.1111/ctr.13223