PMID: 15387123Sep 25, 2004Paper

Look-up survival tables for living-donor renal transplants: OPTN/UNOS data 1995-2002

Clinical Transplants
D W Gjertson

Abstract

1. We have provided reference tables of living-donor kidney graft survival rates based on data reported to the OPTN/UNOS Registry between 1995-2002. Graft survival rates from 28,860 living-related (LRD) and 8,444 living-unrelated donor (LUD) kidneys were 6 and 4 percentage points higher, respectively, at one year after-transplantation compared to the rate for deceased donor kidneys (70,801 DD grafts with GS = 89%). Furthermore, living donor recipients enjoyed a 50% increased graft half-life (15 years for LRD and LUD vs. 10 years for DD). Significantly higher short- and long-term functional and patient survival rates were also observed in recipients of living donor kidneys (Fig. 1). 2. The effects of 15 cofactors on graft survival rates were similar across living donor types (Figs. 2-16). Living-donors always exhibited superior rates compared to DD transplants in comparable categories (Table 1). For example, Black recipients of LRD, LUD and DD kidneys demonstrated half lives of 10, 11 and 7 years, respectively, compared to 17, 16 and 11 years in their White counterparts. 3. Among LRD renal transplants, long (20+ year) half-lives were estimated in children (0-10 yrs) and recipients with inherited disease despite the presence of o...Continue Reading

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