Estimating Waiting Time for Deceased Donor Renal Transplantion in the Era of New Kidney Allocation System

F. Torlak, M. U S Ayvaci, M. E. Ahsen, C. Arce, M. A. Vazquez, B. Tanriover

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Background On December 4, 2014, a new deceased donor kidney allocation system (KAS) was implemented. The KAS was designed to improve organ equity and graft-recipient longevity matching. However, estimated wait-time to deceased donor transplantation is difficult to predict post-KAS. Methods Using the Kidney-Pancreas Simulated Allocation Model software (KPSAM), a program that the Organ Procurement and Transplant Network uses to assess policy proposals, we compared the kidney allocations of both the new (post-KAS) and old policies (pre-KAS) (10 iterations for each group; total N = 204,148) and estimated wait-time based on blood type, duration of dialysis exposure, and calculated panel-reactive antibody (CPRA). Results The simulations revealed that estimated median (25th and 75th percentile) waiting time in transplanted recipients decreased from 2.3 (1.2, 3.8) years in the old allocation to 1.8 (0.8, 3.4) years in the new allocation system. The rate of transplantations performed within the first year of wait-listing increased from 20.7% to 31.3%. The KPSAM resulted in more transplantations in recipients with more than 5 years of dialysis exposure (26.5% to 37.4%), longevity matching (12.2% to 17.5%), blood group B (12.6% to 17.2%), and high CPRA ≥98% (1.9% to 4.3%) in post-KAS compared with pre-KAS simulations. Conclusions Based on the KPSAM results, it was projected that post-KAS wait-time in transplanted recipients might decrease approximately 6 months (22%) across all CPRA categories. It might be related to the KAS awarding waiting time points for prelisting dialysis time and priority points awarded based on CPRA (bolus effect).

Original languageEnglish (US)
Pages (from-to)1916-1919
Number of pages4
JournalTransplantation Proceedings
Volume48
Issue number6
DOIs
StatePublished - Jul 1 2016

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Kidney
Dialysis
Pancreas
Software
Transplantation
Antibodies
Transplants
Tissue and Organ Procurement
Blood Group Antigens

ASJC Scopus subject areas

  • Surgery
  • Transplantation

Cite this

Estimating Waiting Time for Deceased Donor Renal Transplantion in the Era of New Kidney Allocation System. / Torlak, F.; Ayvaci, M. U S; Ahsen, M. E.; Arce, C.; Vazquez, M. A.; Tanriover, B.

In: Transplantation Proceedings, Vol. 48, No. 6, 01.07.2016, p. 1916-1919.

Research output: Contribution to journalArticle

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title = "Estimating Waiting Time for Deceased Donor Renal Transplantion in the Era of New Kidney Allocation System",
abstract = "Background On December 4, 2014, a new deceased donor kidney allocation system (KAS) was implemented. The KAS was designed to improve organ equity and graft-recipient longevity matching. However, estimated wait-time to deceased donor transplantation is difficult to predict post-KAS. Methods Using the Kidney-Pancreas Simulated Allocation Model software (KPSAM), a program that the Organ Procurement and Transplant Network uses to assess policy proposals, we compared the kidney allocations of both the new (post-KAS) and old policies (pre-KAS) (10 iterations for each group; total N = 204,148) and estimated wait-time based on blood type, duration of dialysis exposure, and calculated panel-reactive antibody (CPRA). Results The simulations revealed that estimated median (25th and 75th percentile) waiting time in transplanted recipients decreased from 2.3 (1.2, 3.8) years in the old allocation to 1.8 (0.8, 3.4) years in the new allocation system. The rate of transplantations performed within the first year of wait-listing increased from 20.7{\%} to 31.3{\%}. The KPSAM resulted in more transplantations in recipients with more than 5 years of dialysis exposure (26.5{\%} to 37.4{\%}), longevity matching (12.2{\%} to 17.5{\%}), blood group B (12.6{\%} to 17.2{\%}), and high CPRA ≥98{\%} (1.9{\%} to 4.3{\%}) in post-KAS compared with pre-KAS simulations. Conclusions Based on the KPSAM results, it was projected that post-KAS wait-time in transplanted recipients might decrease approximately 6 months (22{\%}) across all CPRA categories. It might be related to the KAS awarding waiting time points for prelisting dialysis time and priority points awarded based on CPRA (bolus effect).",
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