ATC Abstracts

American Transplant Congress abstracts

  • Home
  • Meetings Archive
    • 2022 American Transplant Congress
    • 2021 American Transplant Congress
    • 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
    • 2021 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
  • Search

Characteristics and Performance of Unilateral Deceased Donor Kidney Transplants.

S. Husain,1 S. Lee,1 S. Mohan,1 S. Pastan,2 R. Patzer,2 M. Chiles.1

1Columbia Univ, New York, NY
2Emory Univ, Atlanta, GA

Meeting: 2017 American Transplant Congress

Abstract number: C43

Keywords: Kidney transplantation, Outcome

Session Information

Session Name: Poster Session C: Deceased Donor Issues II: DCD, DGF, AKI, En-Bloc

Session Type: Poster Session

Date: Monday, May 1, 2017

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

 Presentation Time: 6:00pm-7:00pm

Location: Hall D1

Purpose:

The fraction of kidneys procured for transplant that are discarded is rising in the United States. Identifying donors from whom only one kidney was discarded allows us to control for donor traits and better assess reasons for organ discard.

Methods:

We conducted a retrospective cohort study using UNOS STAR file data. Unilateral pairs were defined as kidney pairs from a single donor from whom one kidney was discarded (unilateral discard) but the other was transplanted (unilateral transplant). We identified 102,684 donors from 2000-2015 from whom both kidneys were procured, then excluded kidneys missing transplant-specific data (1,116) and donors whose kidneys were both discarded (13,771) or transplanted (81,040), yielding 7,315 unilateral pairs for our analysis. Organ quality was estimated using the Kidney Donor Risk Index (KDRI) and Kidney Donor Profile Index (KDPI).

Results:

Compared to bilateral donors, unilateral donors (n=7,315) were significantly older (mean age 48±16yrs v 36±16yrs); more likely to have hypertension (47% v 23%), diabetes (13% v 5%), hepatitis C (12.5% v 1.8%), or death from stroke (50% v 33%); or meet CDC “high risk” criteria (12% v 9%). Unilateral donors also had higher terminal creatinine (mean 1.3±1.1 v 1.1±0.9mg/dL), KDPI (median 73± 37% v 40±44%), and likelihood of having a biopsy performed (69% v 35%). Most unilateral discards were due to factors that would be expected to be similar in both kidneys from a given donor: biopsy findings (23%), no interested recipient (14%), function (13%), and history (8%). While organ damage (11%), anatomic abnormality (14%), or extended ischemia (6%) accounted for only one third of the discards overall, they were the most common reasons for discard for lower KDPI donors. One- and 2-year unilateral transplant graft survival was >90% for almost all KDPI categories.Conclusions:

A large number of discarded kidneys were procured from donors whose contralateral kidneys were transplanted with excellent post-transplant outcomes, suggesting that, at least in the case of factors that would be expected to impact both kidneys equally, the discards may have been inappropriate.

CITATION INFORMATION: Husain S, Lee S, Mohan S, Pastan S, Patzer R, Chiles M. Characteristics and Performance of Unilateral Deceased Donor Kidney Transplants. Am J Transplant. 2017;17 (suppl 3).

  • Tweet
  • Email
  • Print

To cite this abstract in AMA style:

Husain S, Lee S, Mohan S, Pastan S, Patzer R, Chiles M. Characteristics and Performance of Unilateral Deceased Donor Kidney Transplants. [abstract]. Am J Transplant. 2017; 17 (suppl 3). https://atcmeetingabstracts.com/abstract/characteristics-and-performance-of-unilateral-deceased-donor-kidney-transplants/. Accessed May 9, 2025.

« Back to 2017 American Transplant Congress

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 © 2013-2025 by American Society of Transplantation and the American Society of Transplant Surgeons. All rights reserved.

Privacy Policy | Terms of Use | Cookie Preferences