title: Improving utilization of deceased donor kidneys by matching recipient and graft survival.
abstract: Younger renal transplant recipients often outlive their allografts, whereas older recipients often die before their allograft fails. Thus, our aim was to assess the utility of matching recipient and graft survival to improve allocation of deceased donor kidneys. We reviewed the records of 49,206 patients (United Network for Organ Sharing, 1995-2002). Donor grafts were stratified by Deceased Donor Score (DDS). We observed a disparity between recipient survival and renal graft survival which contributed to an annual gap between supply and demand of renal transplants. Utilization of DDS and distribution of marginal kidneys to older recipients would improve allocation.
authors.forename: Edwina S
authors.initials: ES
authors.lastname: Baskin-Bey
authors.forename: Walter
authors.initials: W
authors.lastname: Kremers
authors.forename: Scott L
authors.initials: SL
authors.lastname: Nyberg
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D002102:Cadaver; D033001:Directed Tissue Donation; D046148:Donor Selection / Q000592:standards*; D005260:Female; D006085:Graft Survival; D006801:Humans; D016030:Kidney Transplantation / Q000592:standards*; D008297:Male; D008875:Middle Aged; D014019:Tissue Donors / Q000600:supply & distribution*