Longitudinal analysis of living donor kidney transplant rates in pediatric candidates in the United States

• DOI: 10.1111/petr.12859
• Publication Date: 2016-12-31T04:32:44Z
• Authors: Douglas S. Keith; Gayle Vranic; John Barcia; Victoria Norwood; Angie Nishio‐Lucar
• Keywords: Male; Time Factors; Tissue and Organ Procurement; Adolescent; Databases, Factual; Waiting Lists; Patient Selection; Kaplan-Meier Estimate; Kidney Transplantation; Pediatrics; United States; 03 medical and health sciences; 0302 clinical medicine; Child, Preschool; Living Donors; Humans; Kidney Failure, Chronic; Regression Analysis; Female; Longitudinal Studies; Child

Among adults, living donor kidney transplant rates began declining in the United States after 2004 but whether a similar decline is occurring pediatric candidates has not been well studied. Share 35, change allocation rules implemented October of 2005, may also have influenced donation. We sought to determine was and 35 program cause decline. All children listed for or transplanted with without listing between 1996 2011 were identified (N=14 911) which 6046 had received during follow-up. Kaplan-Meier analysis showed 2001. Logistic regression transplantation confirmed timing drop that changes candidate demographics center practices impacting rates. A large parental donation main drop. The rate among declined 2001 predating by 4 years implementation suggesting factors other than are responsible