Reconsidering Donor Race in Predicting Allograft and Patient Survival Among Kidney Transplant Recipients

Kelly Chong; Igor Litvinovich; Shan Shan Chen; Yiliang Zhu; Christos Argyropoulos; Yue-Harn Ng

doi:10.34067/KID.0002932021

Reconsidering Donor Race in Predicting Allograft and Patient Survival Among Kidney Transplant Recipients

Kidney360. 2021 Aug 19;2(11):1831-1835. doi: 10.34067/KID.0002932021. eCollection 2021 Nov 25.

Authors

Kelly Chong¹, Igor Litvinovich¹, Shan Shan Chen¹, Yiliang Zhu², Christos Argyropoulos¹, Yue-Harn Ng³

Affiliations

¹ Nephrology Division, University of New Mexico, Albuquerque, New Mexico.
² Division of Epidemiology, Biostatistics, and Preventive Medicine, University of New Mexico, Albuquerque, New Mexico.
³ Nephrology Division, University of Washington, Seattle, Washington.

Abstract

Donor race should not be used in models to predict allograft and patient survival.Removing donor race from the Kidney Donor Risk Index may reduce kidney discard by reclassifying approximately 50% of high kidney donor profile index kidneys.Future prediction models should focus on using relevant biologic factors rather than social constructs when trying to predict outcomes.

Keywords: allograft survival; allografts; donor race; kidney discard; kidney donor risk index; kidney transplantation; patient survival; transplantation.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Allografts
Graft Survival
Humans
Kidney Failure, Chronic*
Kidney Transplantation* / adverse effects
Retrospective Studies