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Kidney transplant practice patterns and outcome benchmarks over 30 years: The 2018 report of the NAPRTCS
Author(s) -
Chua Annabelle,
Cramer Carl,
Moudgil Asha,
Martz Karen,
Smith Jodi,
BlydtHansen Tom,
Neu Alicia,
Dharnidharka Vikas R.
Publication year - 2019
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.13597
Subject(s) - medicine , cumulative incidence , incidence (geometry) , cohort , transplantation , kidney transplantation , cohort study , intensive care medicine , pediatrics , physics , optics
Abstract The NAPRTCS has collected clinical information on children undergoing renal transplantation since 1987 and now includes information on 12 920 renal transplants in 11 870 patients. Since the first data analysis in 1989, NAPRTCS reports have documented marked improvements in patient and allograft outcomes after pediatric renal transplantation in addition to identifying factors associated with both favorable and poor outcomes. The registry has served to document and influence practice patterns, clinical outcomes, and changing trends in renal transplantation and also provides historical perspective. This report highlights current practices in an era of major changes in DD kidney allocation and continuing steroid minimization. This report presents outcomes of the patients in the NAPRTCS transplant registry up to end of 2017. In particular, an increase in the cumulative incidence of late first AR has occurred in the most recent cohort, while all prior cohorts had a lower cumulative incidence of late first AR.