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Updated: May 13, 2026
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Heterotopic Renal Autotransplantation in a Porcine Model: A Step-by-Step Protocol
Published on: February 21, 2016
Center-level utilization of kidney paired donation
A B Massie1, S E Gentry, R A Montgomery
1Department of Surgery; Department of Epidemiology, Johns Hopkins School of Public Health, Baltimore, MD, USA.
Summary
Kidney paired donation (KPD) is a vital option for incompatible donor-recipient pairs. However, KPD transplant rates have stalled, limiting access for many patients needing kidney transplants.
Area of Science:
- Nephrology
- Transplantation
- Organ Donation
Background:
- Kidney paired donation (KPD) facilitates incompatible living donor kidney transplantation (LDKT).
- Widespread adoption of KPD is expected given its integration into national programs.
- Limited KPD participation disadvantages patients with incompatible donors.
Purpose of the Study:
- To analyze the utilization and center-specific rates of KPD in the United States.
- To identify trends in KPD adoption among transplant centers.
Main Methods:
- Analysis of adjusted center-specific KPD rates.
- Utilized data from 207 centers for adult LDKT-eligible patients between 2006 and 2011.
- Employed SRTR data for casemix adjustment.
Main Results:
- KPD transplant distribution initially improved but then stalled between 2008 and 2011 (Gini coefficients: 0.91 in 2006, 0.76 in 2008, 0.77 in 2011).
- Top-performing centers utilized KPD for 9.9-38.5% of LDKTs (2009-2011).
- Potential exists to triple annual KPD transplants (from 494 to 1593) if all centers achieved high-KPD rates.
Conclusions:
- Broader implementation of KPD is essential to improve access for transplant candidates.
- Addressing the stall in KPD dissemination is crucial for maximizing donor-recipient matching.
- Increased KPD participation can significantly enhance the effectiveness of kidney transplantation programs.
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