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TBase - an Integrated Electronic Health Record and Research Database for Kidney Transplant Recipients
Published on: April 13, 2021
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OPTN/SRTR 2019 Annual Data Report: Kidney
A Hart1,2, K L Lentine1,3, J M Smith1,4
1Scientific Registry of Transplant Recipients, Hennepin Healthcare Research Institute, Minneapolis, MN.
Summary
Kidney transplants in 2019 saw record numbers, yet only a quarter of waitlisted patients received a deceased-donor kidney. Challenges persist in organ utilization and equitable access to living-donor kidney transplants.
Area of Science:
- Nephrology and Transplant Surgery
- Organ Transplantation Statistics
- Public Health and Healthcare Disparities
Background:
- Severe shortage of kidney grafts compared to patients needing transplants.
- Kidney transplantation numbers have risen since 2015, reaching a new high in 2019.
- Waiting list dynamics show stability despite increased new candidates and decreased removals.
Purpose of the Study:
- To analyze 2019 kidney transplant data, highlighting trends and persistent challenges.
- To examine organ utilization rates, disparities in access, and outcomes.
- To assess the status of pediatric kidney transplantation and associated disparities.
Main Methods:
- Analysis of national kidney transplant data from 2019.
- Evaluation of deceased-donor and living-donor transplant statistics.
- Assessment of organ discard rates and patient survival metrics.
Main Results:
- 24,273 kidney transplants performed in 2019, the highest count to date.
- Nationwide, only 25% of waitlisted patients received a deceased-donor kidney within 5 years.
- Organ discard rate at 20.1%, with high rates for certain donor profiles; racial disparities persist in living-donor transplants.
Conclusions:
- While transplant numbers are increasing, significant challenges remain in graft availability and equitable access.
- Improvements in graft and patient survival are noted, with living donor recipients showing superior outcomes.
- Pediatric kidney transplantation remains stable with persistent racial disparities and high HLA mismatch rates.
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