3 years ago

Is the kidney donor profile index (KDPI) universal or UNOS-specific?

Burcin Ekser, Jonathan A. Fridell, John A. Powelson, Tim E. Taber, William C. Goggins
With the introduction of the KDPI scoring system on June 2013, allocation of kidney allografts and predicted outcomes in the United Network for Organ Sharing (UNOS) have changed. Although the hope was to reduce the discard rate of ‘marginal’ or ‘extended criteria donor (ECD)’ kidneys allocating them in a better way, the discard rate did not differ compared to the ECD era [1]. The transplantation community continues to seek ways to improve kidney allocation in order to provide acceptable (or even better) outcomes using the most possible deceased donor kidneys reducing the discard rate. One way to boost the use of higher risk kidneys is allocating them as dual kidney transplantation (DKT) [2]. DKT could provide increased nephron mass and therefore better expected outcomes compared to single use of ECD kidneys. This article is protected by copyright. All rights reserved.

Publisher URL: http://onlinelibrary.wiley.com/resolve/doi

DOI: 10.1111/ajt.14538

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