Conflict of interest: The authors have no conflict of interest to declare.
Cold ischemic time is critical in outcomes of expanded criteria donor renal transplantation
Version of Record online: 2 NOV 2012
© 2012 John Wiley & Sons A/S
Volume 27, Issue 1, pages 132–139, January–February 2013
How to Cite
Cold ischemic time is critical in outcomes of expanded criteria donor renal transplantation., , , , , , , .
- Issue online: 28 JAN 2013
- Version of Record online: 2 NOV 2012
- Manuscript Accepted: 1 AUG 2012
- allocation system;
- cold ischemic time;
- expanded criteria donor;
- kidney transplantation
The outcomes of expanded criteria donor (ECD) kidneys have been reported to be inferior compared with standard criteria donor (SCD) kidneys. However, the graft survival rate of ECD is not so inferior to SCD in Korea. The purposes of this study were to compare the outcomes of ECD kidneys with SCD kidneys and identify the influencing factors. We retrospectively studied 143 deceased donor transplants from August 2006 to June 2010. The patients were divided into SCD (n = 117) and ECD (n = 26) by UNOS criteria. The one- and three-yr graft survival rates of SCD and ECD (99.1% and 94.4% vs. 100% and 92.9%, respectively, p = 0.15) were not significantly different between groups. The mean cold ischemic time (CIT) was 3.8 ± 2.2 h. When compared the outcome of ECD kidneys with data reported by Organ Procurement and Transplantation Network and the Scientific Registry of Transplant Recipients (OPTN/SRTR) (one- and three-yr graft survival rate: 86.7% and 73.2%), the graft survival rate of our center was superior. In OPTN/SRTR data, transplant with CIT shorter than 11 h was only 20%. The outcomes of ECD grafts are outstanding and comparable with SCD grafts in our center, and the only distinguishing factor is markedly short CIT. Finishing the allocation before organ recovery and immediate operations after recovery could shorten the CIT.