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Updated: Dec 31, 2025
07:13
Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
Published on: April 12, 2021
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OPTN/SRTR 2018 Annual Data Report: Kidney
A Hart1,2, J M Smith2,3, M A Skeans2
1Department of Medicine, Hennepin Healthcare, University of Minnesota, Minneapolis, MN.
Summary
US kidney transplant numbers rose in 2018, with more deceased and living donor transplants. However, challenges remain, including long dialysis times and persistent racial disparities in living donation.
Area of Science:
- Nephrology
- Transplantation
- Public Health
Background:
- Severe organ shortage persists despite increasing kidney transplants.
- Rising proportion of elderly candidates and long dialysis wait times present challenges.
- Geographic disparities in transplant access exist nationwide.
Purpose of the Study:
- To analyze 2018 trends in kidney transplantation in the US.
- To identify progress and persistent challenges in organ donation and transplantation.
- To examine disparities in kidney transplant access and outcomes.
Main Methods:
- Analysis of national kidney transplant data from 2018.
- Examination of trends in donor types, recipient demographics, and waitlist times.
- Comparison of transplant rates across different donation service areas and demographic groups.
Main Results:
- Declining waitlist numbers and increased deceased and living donor kidney transplants were observed.
- Nearly 20% of recovered organs were discarded; increasing use of hepatitis C positive donors noted.
- Racial disparities in living donation persisted; pediatric living donor transplants remained low at 36.2%.
Conclusions:
- While kidney transplantation shows positive trends, significant challenges like long wait times and disparities require attention.
- Addressing organ discard and promoting living donation, especially in pediatric cases, are crucial.
- Continued monitoring of organ recovery trends and transplant access is essential for improving outcomes.
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