The National Landscape of Living Kidney Donor Follow-Up in the United States

American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons
Macey L HendersonDorry L Segev

Abstract

In 2013, the Organ Procurement and Transplantation Network (OPTN)/ United Network for Organ Sharing (UNOS) mandated that transplant centers collect data on living kidney donors (LKDs) at 6 months, 1 year, and 2 years postdonation, with policy-defined thresholds for the proportion of complete living donor follow-up (LDF) data submitted in a timely manner (60 days before or after the expected visit date). While mandated, it was unclear how centers across the country would perform in meeting thresholds, given potential donor and center-level challenges of LDF. To better understand the impact of this policy, we studied Scientific Registry of Transplant Recipients data for 31,615 LKDs between January 2010 and June 2015, comparing proportions of complete and timely LDF form submissions before and after policy implementation. We also used multilevel logistic regression to assess donor- and center-level characteristics associated with complete and timely LDF submissions. Complete and timely 2-year LDF increased from 33% prepolicy (January 2010 through January 2013) to 54% postpolicy (February 2013 through June 2015) (p < 0.001). In an adjusted model, the odds of 2-year LDF increased by 22% per year prepolicy (p < 0.001) and 23% per yea...Continue Reading

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Citations

Jul 27, 2017·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·D Sudan
Jun 9, 2018·Progress in Transplantation : Official Publication, North American Transplant Coordinators Organization ... [et Al.]·Adrianne FrechDmitry Tumin
Apr 18, 2018·Canadian Journal of Kidney Health and Disease·Ngan N LamAmit X Garg
Aug 8, 2018·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·Courtenay M HolscherDorry L Segev
Feb 20, 2019·Experimental and Clinical Transplantation : Official Journal of the Middle East Society for Organ Transplantation·Ifeoma I UlasiUme Nwobodo
Sep 25, 2018·Transplantation·Courtenay M HolscherDorry L Segev
Apr 16, 2019·Transplantation·James R RodrigueDidier A Mandelbrot
Jul 25, 2019·Transplantation·Courtenay M HolscherAllan B Massie
Jan 31, 2020·Clinical Transplantation·Farrukh M KoraishyKrista L Lentine
Dec 28, 2017·Clinical Transplantation·Jessica M RuckDorry L Segev
Jan 8, 2019·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·Fawaz Al AmmaryMacey L Henderson
Aug 8, 2018·Canadian Journal of Kidney Health and Disease·Ngan N LamAmit X Garg
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Feb 28, 2020·Transplantation·Courtenay M HolscherAllan B Massie
Apr 30, 2020·Transplant International : Official Journal of the European Society for Organ Transplantation·Frederike AmbagtsheerEmma K Massey

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