The Differential Impact of Early Graft Dysfunction in Kidney Donation After Brain Death and After Circulatory Death:Insights from the Dutch National Transplant Registry

Kidneys donated after circulatory death (DCD) perform similarly to kidneys donated after brain death (DBD). However, the respective incidences of delayed graft function (DGF) differ. This questions the donor type-specific impact of early graft function on long-term outcome. Using competing risk and cox regression analysis, we compared death-censored graft loss between types of early graft function: DGF (temporary dialysis dependency started within seven days after transplantation), slow graft function (SGF, three-day plasma creatinine decline less than 10% per day), and immediate graft functio... Mehr ...

Verfasser: Steenvoorden, Thei S
Evers, Lara
Vogt, Liffert
Rood, Janneke A J
Kers, Jesper
Baas, Marije C
Christiaans, Maarten H L
Lindeman, Jan H N
Sanders, Jan-Stephan F
de Vries, Aiko P J
van Zuilen, Arjan D
Bemelman, Frederike J
Peters-Sengers, Hessel
Dokumenttyp: Artikel
Erscheinungsdatum: 2024
Reihe/Periodikum: Steenvoorden , T S , Evers , L , Vogt , L , Rood , J A J , Kers , J , Baas , M C , Christiaans , M H L , Lindeman , J H N , Sanders , J-S F , de Vries , A P J , van Zuilen , A D , Bemelman , F J & Peters-Sengers , H 2024 , ' The Differential Impact of Early Graft Dysfunction in Kidney Donation After Brain Death and After Circulatory Death : Insights from the Dutch National Transplant Registry ' , American Journal of Transplantation . https://doi.org/10.1016/j.ajt.2024.09.030
Schlagwörter: acute kidney injury / death-censored graft loss / deceased-donor kidney transplantation / delayed graft function / donation after brain death / donation after circulatory death / slow graft function
Sprache: Englisch
Permalink: https://search.fid-benelux.de/Record/base-30261376
Datenquelle: BASE; Originalkatalog
Powered By: BASE
Link(s) : https://cris.maastrichtuniversity.nl/en/publications/02885c37-29e6-4bc3-a2a0-474fa37906c8

Kidneys donated after circulatory death (DCD) perform similarly to kidneys donated after brain death (DBD). However, the respective incidences of delayed graft function (DGF) differ. This questions the donor type-specific impact of early graft function on long-term outcome. Using competing risk and cox regression analysis, we compared death-censored graft loss between types of early graft function: DGF (temporary dialysis dependency started within seven days after transplantation), slow graft function (SGF, three-day plasma creatinine decline less than 10% per day), and immediate graft function (IGF). In 1061 DBD and 1605 DCD graft recipients (January 2014 until January 2023), graft survival was similar. DGF was associated with death-censored graft loss in DBD and DCD (adjusted hazard ratios [aHR]: DGF in DBD: 1.79 [1.04- 2.91], p = 0.027, DGF in DCD: 1.84 [1.18 - 2.87], p = 0.008; Reference: no DGF). SGF was associated with death-censored graft loss in DBD, but not significantly in DCD (aHR DBD: 2.82 (1.34 - 5.93), p = 0.007, and DCD: 1.54 (0.72 - 3.35), p = 0.262; Reference: IGF). Early graft dysfunction has a differential impact on graft outcome in DBD and DCD. The differences between DBD and DCD should be accounted for in research and the clinic.