Impact of donor obesity on allograft outcomes after kidney transplantation adjusted for kidney donor profile index – a national cohort study

Autor: Gabriel M. Danovitch, Marcelo Santos Sampaio, Suphamai Bunnapradist, Nakul Datta, Piyavadee Homkrailas
Rok vydání: 2021
Předmět:
Zdroj: Transplant International. 34:681-688
ISSN: 1432-2277
0934-0874
DOI: 10.1111/tri.13826
Popis: Obesity in deceased kidney donors is a known risk factor for poor allograft outcomes. The Kidney Donor Profile Index (KDPI) has been introduced to predict graft survival in deceased donor kidney transplantation (DDKT). Obesity, however, is not included in KDPI. We study the impact of donor obesity on DDKT outcomes after adjusting for organ quality by KDPI. The Organ Procurement Transplantation Network/United Network for Organ Sharing (OPTN/UNOS) data of DDKT from 2005 to 2017, with donor BMI ≥ 18.5 kg/m2 and weight >80 kg were included. There was a total of 66 382 DDKTs with 10 917 death-censored graft failures. For KDPI ≤ 30%, the 10-year death-censored graft survival (DCGS) rates among donor BMI 30%, 10-year DCGS rates were 67.5%, 66.1%, 65.9%, 62.6% and 63.2%, respectively. After adjusting for known confounding factors including KDPI, donor obesity was not independently associated with an increased risk for graft failure. In DDKT with donor weight >80 kg, donor obesity was not associated with a lower long term DCGS compared to non-obesity when KDPI ≤ 30%.
Databáze: OpenAIRE
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