ATC Abstracts

American Transplant Congress abstracts

  • Home
  • Meetings Archive
    • 2020 American Transplant Congress
    • 2019 American Transplant Congress
    • 2018 American Transplant Congress
    • 2017 American Transplant Congress
    • 2016 American Transplant Congress
    • 2015 American Transplant Congress
    • 2013 American Transplant Congress
  • Keyword Index
  • Resources
    • 2016 Resources
      • 2016 Welcome Letter
      • ATC 2016 Program Planning Committees
      • ASTS Council 2015-2016
      • AST Board of Directors 2015-2016
    • 2015 Resources
      • 2015 Welcome Letter
      • ATC 2015 Program Planning Committees
      • ASTS Council 2014-2015
      • AST Board of Directors 2014-2015
      • 2015 Conference Schedule
  • Advanced Search

18 Month Analysis of the Impact of the New Kidney Allocation System on Deceased Donor Kidney Utilization at the Donor Service Area Level.

W. Ally, K. Brayman, A. Agarwal.

University of Virginia, Charlottesville, VA

Meeting: 2017 American Transplant Congress

Abstract number: D294

Keywords: Allocation, Donors, Kidney transplantation, marginal

Session Information

Date: Tuesday, May 2, 2017

Session Name: Poster Session D: Non-Organ Specific: Economics, Public Policy, Allocation, Ethics

Session Time: 6:00pm-7:00pm

 Presentation Time: 6:00pm-7:00pm

Location: Hall D1

Related Abstracts
  • Impact of the Kidney Allocation System with Deceased Donor Kidney Utilization at the DSA Level.
  • Successful Utilization of Deceased Donor Kidney Allografts with KDPI>85: A Single Center Experience.

In December 2014, UNOS implemented broad sweeping changes in the Kidney Allocation System (KAS). Recently, UNOS reported that key goals of the new policy have been met with certain “bolus” trends. The purpose of this study is to determine if these findings are applicable at the donor service area (DSA) level.

All adult deceased donor demographics and utilization were obtained from UNOS for a single DSA from August 2014 to September 2016. Cohorts were defined around KAS implementation as follows: pre, early (first six months since implementation), and current (most recent six months). Deceased donor and recipient parameters were analyzed in a univariate manner.

Data were provided from UNOS on the VATB DSA, which represented 286 donors and 570 recovered kidneys. Kidney waiting list registrants steadily fell post KAS (pre: 2320±12 vs. current: 1839±18; p<0.05), representing a 21% decline. New registrations have rebounded to pre-KAS levels (pre: 64±14 vs. current: 55±3; p=0.26) with highly sensitized patients remaining unchanged (pre: 139±2 vs. current 141±2; p=0.78). The percent of blood type B recipients eligible for A2/A2B organs has steadily increased (pre: 0.4% vs current: 20%; p<0.05). Kidney recovery rates distributed by KDPI remained consistent in all eras with a trend in KDPI >85 (pre: 4±1% vs. current: 23±20%; p=0.09). The overall discard rate doubled (pre: 11% vs. current: 26%; p=0.07) and was most pronounced for KDPI 35-85 (pre: 11% vs. current: 29%; p=0.08). The kidney discard rate for KDPI >85 has decreased in this DSA from (pre: 66% vs. current: 56%; p=0.74). Overall, export rates have stabilized, but still remain higher (pre: 4±2 vs. early: 35±9 vs. current: 23±18; p=ns). The kidney export rate of regional sharing of KDPI >85 dropped (early: 19% compared to current: 7%; p=0.01) with concurrent increased local utilization (early: 65% vs. current: 77%; p=0.25). Pediatric transplantation has returned to near baseline levels (pre: 8.6±1.7 vs. early: 1.3±0.8% vs. current: 5.8±0.1%; p=ns). Patients from 18-34 years were transplanted at higher rates (Pre: 5±3% vs. Current: 11±3%; p=0.16).

In summary, similar trends were observed at the DSA level as was seen nationally. The increased high KDPI organ utilization could reflect increased local use and a response to decreased low KDPI organ availability. DSAs and their corresponding transplant centers should individually assess these changes with attention to reversing the trend of rising discard rates.

CITATION INFORMATION: Ally W, Brayman K, Agarwal A. 18 Month Analysis of the Impact of the New Kidney Allocation System on Deceased Donor Kidney Utilization at the Donor Service Area Level. Am J Transplant. 2017;17 (suppl 3).

  • Tweet
  • Email
  • Print

To cite this abstract in AMA style:

Ally W, Brayman K, Agarwal A. 18 Month Analysis of the Impact of the New Kidney Allocation System on Deceased Donor Kidney Utilization at the Donor Service Area Level. [abstract]. Am J Transplant. 2017; 17 (suppl 3). https://atcmeetingabstracts.com/abstract/18-month-analysis-of-the-impact-of-the-new-kidney-allocation-system-on-deceased-donor-kidney-utilization-at-the-donor-service-area-level/. Accessed January 26, 2021.

« Back to 2017 American Transplant Congress

Most Viewed Abstracts

  • This Week
  • This Month
  • All Time
  • Subtherapeutic Low Tacrolimus Trough Levels (≤3.5 Ng /ml) Are A Risk Factor For Acute Rejection And Creatinine Doubling.
  • Penis Transplantation: First U.S. Experience.
  • Low GFR after Kidney Donation Is Not Chronic Kidney Disease
  • Is There a Difference Between DCD and DBD Kidney Transplantation with Similar KDPI?
  • Live Related Kidney Transplant Experience in Abuja, Nigeria – First Eight Cases Ever.
  • Subtherapeutic Low Tacrolimus Trough Levels (≤3.5 Ng /ml) Are A Risk Factor For Acute Rejection And Creatinine Doubling.
  • Penis Transplantation: First U.S. Experience.
  • Low GFR after Kidney Donation Is Not Chronic Kidney Disease
  • Is There a Difference Between DCD and DBD Kidney Transplantation with Similar KDPI?
  • Live Related Kidney Transplant Experience in Abuja, Nigeria – First Eight Cases Ever.
  • Penis Transplantation: First U.S. Experience.
  • Is There a Difference Between DCD and DBD Kidney Transplantation with Similar KDPI?
  • Low GFR after Kidney Donation Is Not Chronic Kidney Disease
  • Evidence of a Clinically Significant Drug-Drug Interaction between Cannabidiol and Tacrolimus: A Case Report
  • Kidney Dialysis after Heart Transplantation: The Short and Long Term Outcomes

Visit Our Partner Sites

American Transplant Congress (ATC)

Visit the official site for the American Transplant Congress »

American Journal of Transplantation

The official publication for the American Society of Transplantation (AST) and the American Society of Transplant Surgeons (ASTS) »

American Society of Transplantation (AST)

An organization of more than 3000 professionals dedicated to advancing the field of transplantation. »

American Society of Transplant Surgeons (ASTS)

The society represents approximately 1,800 professionals dedicated to excellence in transplantation surgery. »

Copyright © 2013-2021 by American Society of Transplantation and the American Society of Transplant Surgeons. All rights reserved.

Privacy Policy

loading Cancel
Post was not sent - check your email addresses!
Email check failed, please try again
Sorry, your blog cannot share posts by email.
This site uses cookies: Find out more.