Relationship between Healthcare Access and Deceased Donor Quality for Kidney Transplant

Yuan, Qing; Jiménez Collado, David; Elias, Nahel

doi:10.1016/j.jamcollsurg.2020.08.594

Relationship between Healthcare Access and Deceased Donor Quality for Kidney Transplant

Journal

Journal of the American College of Surgeons

ISSN

1072-7515

Date Issued

2020

Author(s)

Yuan, Qing

Facultad de Ciencias de la Salud - CampCM

Jiménez Collado, David

Elias, Nahel

Facultad de Ciencias de la Salud - CampCM

Type

text::journal::journal article

DOI

10.1016/j.jamcollsurg.2020.08.594

URL

https://scripta.up.edu.mx/handle/20.500.12552/2138

Abstract

Introduction: The Kidney Donor Prolife Index (KDPI) is a percentile combining clinical parameters and demographics to summarize the quality of deceased donor kidneys (DDK) relative to the past year recovered organs. Lower KDPI values are associated with higher donor quality and expected organ function post-transplant. Under the Kidney Allocation System retrieved DDK with best KDPI (0%-20%) are matched to recipients with the greatest Estimated Post-Transplant Survival (0%-20%). However, the prevalence of best KDPI (0%-20%) DDK across transplant regions is not 20% as the percentile would suggest. We hypothesize that this difference stems from favorable health care quality. © 2020 by Lippincott Williams & Wilkins, Inc.