1. Deciphering transplant outcomes of expanded kidney allografts donated after controlled circulatory death in the current transplant era. A call for caution
- Author
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Francesc Moreso, Nuria Montero, Néstor Toapanta, Edoardo Melilli, Josep M. Cruzado, Magali Giral, Irina B. Torres, Maarten Naesens, Ignacio Revuelta, Lluis Guirado, Jordi Comas, Beatriz Bardají, Alicia Molina Andujar, Natalia Pallares, Rafael Esteban, Fritz Diekmann, Gonzalo Velis, L. Riera, Marta Crespo, Anna Buxeda, Oriol Bestard, Anders Åsberg, Carme Facundo, Sergi Codina, and Maria Fiol
- Subjects
Male ,medicine.medical_specialty ,medicine.medical_treatment ,kidney transplantation ,Kidney ,survival analysis ,Internal medicine ,Epidemiology ,medicine ,Humans ,Kidney transplantation ,Dialysis ,Survival analysis ,Aged ,Transplantation ,business.industry ,Proportional hazards model ,Graft Survival ,medicine.disease ,Allografts ,Kidney Transplantation ,Tissue Donors ,medicine.anatomical_structure ,Cohort ,epidemiology ,Risk assessment ,business - Abstract
Outcomes of kidney transplantation (KT) after controlled circulatory death (cDCD) with highly expanded criteria donors (ECD) and recipients have not been thoroughly evaluated. We analyzed in a multicenter cohort of 1161 consecutive KT, granular baseline donor and recipient factors predicting transplant outcomes, selected by bootstrapping and Cox proportional hazards, and were validated in a contemporaneous European KT cohort (n = 1585). 74.3% were DBD and 25.7% cDCD-KT. ECD-KT showed the poorest graft survival rates, irrespective of cDCD or DBD (log-rank
- Published
- 2021