Date: Saturday, May 30, 2020
Session Time: 3:15pm-4:00pm
Presentation Time: 3:30pm-4:00pm
*Purpose: To identify clinical outcomes and complications of living donor nephrectomies in the US from 2008 – 2015.
*Methods: A retrospective analysis of 2008-2015 discharge data from the Healthcare Cost and Utilization Project Nationwide Inpatient Sample (HCUP-NIS) was performed using the International Classification of Diseases, Ninth Revision (ICD-9), codes. Clinical outcomes were analyzed for patient and provider characteristics. Complications were predicted using data mining tools and were defined as Bleeding, Wound, Respiratory, Urologic, Cardiac and Other. Table 1 shows the definition of postoperative complications grade level diagnosis by The Clavien-Dindo Classification. for predicting the complications level after living donor nephrectomy. Features correlation is measured, and selected predictors and their correlation plots are shown in Figure 1.
*Results: Figure 2 shows the map of factors leading to postoperative complications. Based on these maps, female donors with obesity and nonwhite ethnicity are more at risk of having post-surgery complications than other patients.
*Conclusions: A total of 9,837 live donor nephrectomies were identified with 0.4% mortality and a complication rate of 4.62%. Live kidney donation has low mortality and complication rates. Donation by those with advanced age or obesity is associated with higher risks. Informed consent should include discussion of these risks.
To cite this abstract in AMA style:Gharibdousti MS, Khasawneh MT, Friedman AL. Living Donor Nephrectomy Outcomes in the Us: Analysis of HCUP Data [abstract]. Am J Transplant. 2020; 20 (suppl 3). https://atcmeetingabstracts.com/abstract/living-donor-nephrectomy-outcomes-in-the-us-analysis-of-hcup-data/. Accessed October 26, 2020.
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