Waitlist Survival is Approaching Survival after Kidney Transplantation
Abdominal Tranplantation, Baylor College of Medicine, Houston, TX.
Meeting: 2018 American Transplant Congress
Abstract number: 518
Keywords: Kidney transplantation, Waiting lists
Session Name: Concurrent Session: Kidney Donor Selection / Management Issues - 2
Session Type: Concurrent Session
Date: Tuesday, June 5, 2018
Session Time: 4:30pm-6:00pm
Presentation Time: 5:06pm-5:18pm
Location: Room 6E
Backround: Kidney transplantation confers a significant survival benefit to its recipients. Our objective was to reassess this survival benefit in light of improving outcomes on dialysis and the stagnant long-term survival after kidney transplantation.
Methods: We studied a cohort of 768,214 candidates listed in the Organ Procurement and Transplantation Network for kidney transplantation between 1987 and 2016; 372,876 of the candidates (49%) were transplanted. We divided the study period in to approximately four year cohorts. Kaplan-Meier and Multivariable Cox regression analysis was used. We also used competing risk analysis to confirm our waitlist analysis.
Results: Waitlist survival for kidney transplantation has improved steadily over the study period. 5-year survival on the waiting list was 53.8% in 1988, 50.3% in 2000, and 78.3% in 2012 (p<0.001). The mean age at listing had increased from 41.6 in 1988 to 51.6 in 2015 (p<0.001) while the transplant rate has decreased by nearly 100% from 1988 to 2015. In adjusted analysis, candidates listed for kidney transplant from 2006-2010 had a 60% decreased chance of dying on the waiting list compared to 1987-1995, those listed from 2011-2016 had a nearly 80% reduction in risk.
Conclusions: We have demonstrated consistent improvement in kidney transplant waitlist survival over the past two decades despite listing sicker and older candidates and a declining transplant rate. The survival outcomes on the waiting list are approaching survival after kidney transplantation.
CITATION INFORMATION: Rana A., Murthy B., O'Mahony C., Goss J. Waitlist Survival is Approaching Survival after Kidney Transplantation Am J Transplant. 2017;17 (suppl 3).
To cite this abstract in AMA style:Rana A, Murthy B, O'Mahony C, Goss J. Waitlist Survival is Approaching Survival after Kidney Transplantation [abstract]. https://atcmeetingabstracts.com/abstract/waitlist-survival-is-approaching-survival-after-kidney-transplantation/. Accessed June 3, 2023.
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