title: Factors Affecting the Selection of Patients on Waiting List: A Single Center Study.
abstract: BACKGROUND
  There is an increasing gap between organ supply and demand for cadaveric transplantation in our country. Our aim was to evaluate factors affecting selection of patients on waiting list at our hospital.
  
  
  METHODS
  Patients who have been waiting on list and who were transplanted were compared in order to find factors, which affected the selection of patients. Non-parametric Mann-Whitney U test was used for comparison and cox regression analysis was used to find the risk factors that decrease the probability of transplantation in this retrospective case-control study.
  
  
  RESULTS
  Patients in the transplanted group were significantly younger, had relatively lower body mass index than the awaiting group. Cardiovascular diseases were more in the awaiting group than the transplanted group. There was no patient with diabetes in transplanted group, despite fifteen diabetic patients were in the awaiting group. Selected patients had lower immunologic risk with regard to peak panel reactive antibody levels. No significant difference was found for gender, hypertension, hyperlipidemia, viral serology, time spent on dialysis and on waiting list between two groups. With cox regression analysis female gender, older age, diabetes mellitus, high body mass index, positive hepatitis B serology and high levels of peak class 1-2 peak panel reactive antibody positivity were found as risk factors that decrease the probability of transplantation.
  
  
  CONCLUSIONS
  A tendency for selection of low risk patients was found with this study. Time and energy consuming complications and short allograft survival after transplantation in high risk patients and the scarcity of cadaveric pool in our country may contribute to this tendency.
authors.affiliation: Department of Nephrology, Haydarpasa Numune Training and Research Hospital, Istanbul, Turkey. Electronic address: canozgur62@hotmail.com.
authors.forename: Ö
authors.initials: Ö
authors.lastname: Can
authors.affiliation: Department of Nephrology, Haydarpasa Numune Training and Research Hospital, Istanbul, Turkey.
authors.forename: U
authors.initials: U
authors.lastname: Kasapoğlu
authors.affiliation: Department of Nephrology, Haydarpasa Numune Training and Research Hospital, Istanbul, Turkey.
authors.forename: B
authors.initials: B
authors.lastname: Boynueğri
authors.affiliation: Department of Nephrology, Haydarpasa Numune Training and Research Hospital, Istanbul, Turkey.
authors.forename: M
authors.initials: M
authors.lastname: Tuğcu
authors.affiliation: Department of Nephrology, Haydarpasa Numune Training and Research Hospital, Istanbul, Turkey.
authors.forename: B
authors.initials: B
authors.lastname: Çağlar Ruhi
authors.affiliation: Department of Nephrology, Haydarpasa Numune Training and Research Hospital, Istanbul, Turkey.
authors.forename: M
authors.initials: M
authors.lastname: Canbakan
authors.affiliation: Department of General Surgery and Transplantation, Haydarpasa Numune Training and Research Hospital, Istanbul, Turkey.
authors.forename: A
authors.initials: A
authors.lastname: Murat Gökçe
authors.affiliation: Genetic Diseases Diagnosis Center, Molecular Genetics Laboratory, Haydarpasa Numune Research and Training Hospital, Istanbul, Turkey.
authors.forename: P
authors.initials: P
authors.lastname: Ata
authors.affiliation: Department of General Surgery and Transplantation, Haydarpasa Numune Training and Research Hospital, Istanbul, Turkey.
authors.forename: M
authors.initials: M
authors.lastname: İzzet Titiz
authors.affiliation: Department of Nephrology, Haydarpasa Numune Training and Research Hospital, Istanbul, Turkey.
authors.forename: S
authors.initials: S
authors.lastname: Apaydın
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016022:Case-Control Studies; D005260:Female; D015276:Health Care Rationing; D006801:Humans; D016030:Kidney Transplantation / Q000401:mortality; D008297:Male; D008875:Middle Aged; D018579:Patient Selection; D016016:Proportional Hazards Models; D012189:Retrospective Studies; D012307:Risk Factors; D018709:Statistics, Nonparametric; D014421:Turkey; D014850:Waiting Lists