title: Evaluation of the reasons for nonacceptance of kidneys retrieved or offered in Rio Grande do Sul and Pais Vasco.
abstract: In Rio Grande do Sul (RS), as in Pais Vasco (PV), some kidneys are retrieved or offered and not accepted for transplantation. This study aimed to evaluate the profile of the available kidneys and the reasons for them not being accepted in the 2 regions, and to compare the characteristics of the organs and reasons for refusal. All of the kidneys retrieved or offered in RS in December 2012 and in PV from September to December 2012 were evaluated. Data were collected from each local donation registry. There were 61 kidneys available in RS and 61 in PV in the study period. Of these, 16 kidneys (26%) in RS and 27 (44%) in PV were not implanted. The age of the donors was higher in PV (59 years) than in RS (45 years; P = .000), as was the age of the donors of accepted kidneys (62 and 41 years old, respectively; P = .000). The proportion of donors considered to be "extended criteria" was higher in PV (78%) than in RS (47%; P = .001), and the refusal rate of the kidneys from these donors was the same in the 2 regions. The reasons for not using the kidneys in RS and in PV were similar and absolute. It is concluded that there is no organ waste in the 2 regions, but that the offer of kidneys can be expanded in RS by considering elderly donors for evaluation, even if this means a higher number of refused organs.
authors.affiliation: Central de Transplantes do Rio Grande do Sul, Brazil. Electronic address: margenerali@uol.com.br.
authors.forename: M G
authors.initials: MG
authors.lastname: da Costa
authors.affiliation: Hospital Cruces, Barakaldo, Pais Vasco, Spain.
authors.forename: P
authors.initials: P
authors.lastname: Elorrieta
authors.affiliation: Autonomic Regional Coordination of Pais Vasco, Pais Vasco, Spain.
authors.forename: S
authors.initials: S
authors.lastname: Malla
authors.affiliation: Autonomic Regional Coordination of Pais Vasco, Pais Vasco, Spain.
authors.forename: J
authors.initials: J
authors.lastname: Aranzabal
mesh_terms: D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D016030:Kidney Transplantation; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care; D018579:Patient Selection; D012042:Registries; D014019:Tissue Donors; D009927:Tissue and Organ Procurement