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A ustralian deceased donor kidney allocation protocols: Transplant waiting and graft quality for children and adolescents
Author(s) -
Le Page Amelia K.,
Johnstone Lilian M.,
Kennedy Sean E.
Publication year - 2015
Publication title -
pediatric transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.457
H-Index - 69
eISSN - 1399-3046
pISSN - 1397-3142
DOI - 10.1111/petr.12544
Subject(s) - medicine , waiting list , kidney transplantation , dialysis , transplantation , renal transplant , kidney transplant , pediatrics , surgery
DD kidney allocation protocols may influence timing of transplantation and graft quality for pediatric recipients. This study aimed to evaluate the effects of these protocols, including pediatric priority, on waiting time on dialysis, transplant type, donor age, and HLA matching according to state of transplant in A ustralia. De‐identified information on patients <15 yr of age who commenced RRT in NSW , Q ld, and V ictoria from 2002 to 2011 was retrieved from the ANZDATA . Transplant type, donor age, and HLA mismatching were compared between states, with competing risk regression used to examine the time to transplant. There were significant differences in waiting time to DD transplantation between the three states. Children in NSW and Q ld waited a median of 14 and 11 months vs. 21 months in V ictoria. The ratio of LD to DD transplants was lower in NSW and Q ld. Differences correlated with DD pediatric priority in NSW and Q ld. DD s in NSW were older than in the other states. HLA matching did not differ. DD kidney allocation protocols with pediatric priority in A ustralian states were associated with shorter waiting times and increased DD proportion.