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

Use of Small (<10kg) Kidney Donors in the US.

J. Smith,1,2 J. Snyder,1 A. Israni,1 B. Kasiske,1 R. Perez.3

1Scientific Registry of Transplant Recipients, Minneapolis
2Seattle Children's Hospital, Seattle
3UC Davis Medical Center, Sacremento.

Meeting: 2016 American Transplant Congress

Abstract number: 216

Keywords: Donation, Kidney

Session Information

Date: Monday, June 13, 2016

Session Name: Concurrent Session: Kidney Transplantation: Allocation, Discard, and HCV

Session Time: 2:30pm-4:00pm

 Presentation Time: 3:06pm-3:18pm

Location: Veterans Auditorium

Related Abstracts
  • Risk Factors Associated with Surgical Complications in Recipients of Kidneys from Very Small Pediatric Donors
  • Comparison of Pediatric En-Bloc Renal Allograft Growth and Function for Donors Less Than One Year of Age with Older Pediatric Donors

The supply of kidneys for transplant continues to exceed the demand. Efforts to expand the donor pool have led to interest in small pediatric kidney donors. We reviewed kidney recovery, use, and outcomes for kidneys from donors weighing < 10kg.

Using SRTR standard analysis files, we examined all donors weighing <10 kg January 1, 2010-June 30, 2015; a donor was defined as having at least 1 organ procured for the purpose of transplant. These kidneys are reported to UNOS by the OPO as single left/right or en bloc.

A total of 848 donors (1.9% of 45,557 deceased donors) with 1696 kidneys were available for analysis. The number of transplants ranged from a low of 89 (2010) to 119 (2012) per year, performed in 29 to 40 centers. The disposition of kidneys varied by donor weight. As donor weight increased from 2 to 10 kg, more kidneys were offered for transplant and fewer were not recovered or discarded (Fig. 1). Of the 848 donors whose kidneys were offered for transplant, 683 (81%) were offered en bloc and 165 (19%) as single left/right kidneys. No kidneys from donors weighing less than 5 kg were transplanted as single kidneys despite up to 35% being offered as single kidneys. Graft survival trended lower for donors weighing 2-5 kg (p=0.0687, Fig. 2) with most of the graft losses occurring in the first 6 months. Recipient survival did not differ (p=0.67).

Among small pediatric kidney donors, organ recovery, use, and graft survival vary by donor weight. Potential expansion of the organ pool should focus on increasing recovery, use and graft survival, particularly with donors <5kg. Further study is needed to establish the potential yield of organs from this population to optimize their distribution.

Figure 1. Final disposition of kidneys

Figure 2. Graft survival of kidneys

CITATION INFORMATION: Smith J, Snyder J, Israni A, Kasiske B, Perez R. Use of Small (<10kg) Kidney Donors in the US. Am J Transplant. 2016;16 (suppl 3).

  • Tweet
  • Email
  • Print

To cite this abstract in AMA style:

Smith J, Snyder J, Israni A, Kasiske B, Perez R. Use of Small (<10kg) Kidney Donors in the US. [abstract]. Am J Transplant. 2016; 16 (suppl 3). https://atcmeetingabstracts.com/abstract/use-of-small-10kg-kidney-donors-in-the-us/. Accessed March 9, 2021.

« Back to 2016 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
  • Penis Transplantation: First U.S. Experience.
  • 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.
  • Low GFR after Kidney Donation Is Not Chronic Kidney Disease
  • 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.
  • Is There a Difference Between DCD and DBD Kidney Transplantation with Similar KDPI?
  • A Decade of Donor-Derived Disease: A Report of the OPTN Ad Hoc Disease Transmission Advisory Committee (DTAC).
  • 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.