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

Impact of Paired Exchange on Living Donor Kidney Transplantation: A Center Level Analysis, The

J. Gill, C. Rose, J. Dong, O. Johnston, J. Gill, D. Landsberg

Univeristy of British Columbia, Vancouver, Canada

Meeting: 2013 American Transplant Congress

Abstract number: 341

Related Abstracts
  • Paired-Donor Exchange Unrelated Living Donor Renal Transplantation With Two Separate Arterial Anastomoses to a Simultaneously Placed Vascular Prosthetic Interposition Graft in an Irradiated Field
  • Center Volume Is Associated With Early Graft Failure After Living Donor Kidney Transplantation

Although the number of living donor paired exchange (LDPE) kidney transplants increased 1000 fold between 2005-10, the total number of living donor kidney transplants (LDTx) declined by 4% in the United States. The purpose of this analysis was to determine the association between center participation in LDPE and the percent change in LDTx per year during the study period.

SRTR data were used to identify transplant centers performing ≥ 60 LDTx during the period 2005-2010 (n = 156 centers).

The median number of LDPE transplants per center was 5 range (0-116), n = 16 centers performed zero LDPE transplants, while n = 24 centers had ≥ 10% of their LDTx volume from LDPE and were considered high use LDPE centers. The table shows that in high use LDPE centers LDTx accounted for 36% of transplants performed during the study period, a percentage not dissimilar to that in centers with lower use of LDPE.

The figure shows the percent LDPE/LDTx in each center on the x-axis versus the annual percent change in LDTx per year (2005-2010) on the y axis. There was no clear association between use of LDPE and yearly percent increase in LDTx at the center level. Among the n =24 high LDPE users (circles) only n = 8 (33%) had an increase in LDTx.

We conclude that participation in LDPE is not associated with an increase in LDTX at the center level. The inability of most high use LDPE centers to increase the total number of living donor transplant numbers suggests the importance of center level factors. A comparison of the organization and resources between high use LDPE centers that did (i.e. Center A in Figure) and did not (i.e. center B, Figure) increase LDTx may provide useful insights that will enable centers to recognize the potential benefits of participation in LDPE.

  0% LDPE (n=16) <10% LDPE(n=116) ≥ 10% LDPE (n=24)
Deceased donor kidney transplants 272 (122-482) 298 (48-1220) 246 (3-729)
Living donor kidney transplants 139 (67-406) 177 (61-912) 132 (61-691)
% living donor kidney transplants 34 (18-47) 39 (9-79) 36 (18-96)
Numbers shown as Median (Minimum-Maximum)

  • Tweet
  • Email
  • Print

To cite this abstract in AMA style:

Gill J, Rose C, Dong J, Johnston O, Gill J, Landsberg D. Impact of Paired Exchange on Living Donor Kidney Transplantation: A Center Level Analysis, The [abstract]. Am J Transplant. 2013; 13 (suppl 5). https://atcmeetingabstracts.com/abstract/impact-of-paired-exchange-on-living-donor-kidney-transplantation-a-center-level-analysis-the/. Accessed April 15, 2021.

« Back to 2013 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.
  • Low GFR after Kidney Donation Is Not Chronic Kidney Disease
  • Home
  • Is There a Difference Between DCD and DBD Kidney Transplantation with Similar KDPI?
  • Penis Transplantation: First U.S. Experience.
  • Subtherapeutic Low Tacrolimus Trough Levels (≤3.5 Ng /ml) Are A Risk Factor For Acute Rejection And Creatinine Doubling.
  • Low GFR after Kidney Donation Is Not Chronic Kidney Disease
  • Home
  • 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 | Terms of Use

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.