1
|
Hart A, Smith JM, Skeans MA, Gustafson SK, Wilk AR, Robinson A, Wainright JL, Haynes CR, Snyder JJ, Kasiske BL, Israni AK. OPTN/SRTR 2016 Annual Data Report: Kidney. Am J Transplant 2018; 18 Suppl 1:18-113. [PMID: 29292608 PMCID: PMC5772947 DOI: 10.1111/ajt.14557] [Citation(s) in RCA: 367] [Impact Index Per Article: 61.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
Abstract
Data from 2016 show ongoing positive trends in short- and long-term allograft survival, and a decrease in the number of active listed candi- dates for the first time in more than a decade, with a concomitant in- crease in deceased donor kidney transplants. Transplant rates that had changed dramatically for some groups after implementation of the new kidney allocation system in 2014 are stabilizing, allowing for evaluation of new steady states and trends. Many challenges remain in adult kid- ney transplantation, including stagnant rates of living donor transplant, geographic disparities in access to transplant, racial disparities in living donor transplant, and overall a continuing demand for kidneys that far outpaces the supply. For pediatric recipients, a decline in the proportion of living donor transplants is of concern. In 2016, only 34.2% of pediatric transplants were from living donors, compared with 47.2% in 2005. The number of related donors decreased dramatically over the past decade, and the number of unrelated directed transplants performed in pediatric candidates remained low (50).
Collapse
Affiliation(s)
- A. Hart
- Department of Medicine, Hennepin County Medical Center, University of Minnesota, Minneapolis, MN,Scientific Registry of Transplant Recipients, Minneapolis Medical Research Foundation, Minneapolis, MN
| | - J. M. Smith
- Scientific Registry of Transplant Recipients, Minneapolis Medical Research Foundation, Minneapolis, MN,Department of Pediatrics, University of Washington, Seattle, WA
| | - M. A. Skeans
- Scientific Registry of Transplant Recipients, Minneapolis Medical Research Foundation, Minneapolis, MN
| | - S. K. Gustafson
- Scientific Registry of Transplant Recipients, Minneapolis Medical Research Foundation, Minneapolis, MN
| | - A. R. Wilk
- Organ Procurement and Transplantation Network, Richmond, VA,United Network for Organ Sharing, Richmond, VA
| | - A. Robinson
- Organ Procurement and Transplantation Network, Richmond, VA,United Network for Organ Sharing, Richmond, VA
| | - J. L. Wainright
- Organ Procurement and Transplantation Network, Richmond, VA,United Network for Organ Sharing, Richmond, VA
| | - C. R. Haynes
- Organ Procurement and Transplantation Network, Richmond, VA,United Network for Organ Sharing, Richmond, VA
| | - J. J. Snyder
- Scientific Registry of Transplant Recipients, Minneapolis Medical Research Foundation, Minneapolis, MN,Department of Epidemiology and Community Health, University of Minnesota, Minneapolis, MN
| | - B. L. Kasiske
- Department of Medicine, Hennepin County Medical Center, University of Minnesota, Minneapolis, MN,Scientific Registry of Transplant Recipients, Minneapolis Medical Research Foundation, Minneapolis, MN
| | - A. K. Israni
- Department of Medicine, Hennepin County Medical Center, University of Minnesota, Minneapolis, MN,Scientific Registry of Transplant Recipients, Minneapolis Medical Research Foundation, Minneapolis, MN,Department of Epidemiology and Community Health, University of Minnesota, Minneapolis, MN
| |
Collapse
|