A one-day centralized work-up for kidney transplant recipient candidates: a quality improvement report

American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation
Richard N FormicaSanjay Kulkarni

Abstract

Waiting time for a kidney transplant is calculated from the date the patient is placed on the UNOS (United Network for Organ Sharing) waitlist to the date the patient undergoes transplant. Time from transplant evaluation to listing represents unaccounted waiting time, potentially resulting in longer dialysis exposure for some patients with prolonged evaluation times. There are established disparities demonstrating that groups of patients take longer to be placed on the waitlist and thus have less access to kidney transplant. Quality improvement report. 905 patients from a university-based hospital were evaluated for kidney transplant candidacy, and analysis was performed from July 1, 2004, to January 31, 2010. A 1-day centralized work-up was implemented on July 1, 2007, whereby the transplant center coordinated the necessary tests needed to fulfill minimal listing criteria. Time from evaluation to UNOS listing was compared between the 2 cohorts. Multivariable Cox proportional hazards models were created to assess the relative hazards of waitlist placement comparing 1-day versus conventional work-up and were adjusted for age, sex, race, and education. Of 905 patients analyzed, 378 underwent conventional evaluation and 527 underw...Continue Reading

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Citations

Mar 20, 2013·Current Opinion in Nephrology and Hypertension·Sandra Amaral, Rachel Patzer
Apr 18, 2013·European Journal of Clinical Investigation·Juan M PericásXavier Bosch
Oct 16, 2014·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Michael A Freeman, Larissa Myaskovsky
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Mar 21, 2018·Transplantation·Kendra E BrettGreg A Knoll
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Nov 6, 2020·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·Peter P ReeseNwamaka D Eneanya
Nov 28, 2020·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·Amy D WatermanMark L Robbins

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