OPTN/SRTR 2012 Annual Data Report: kidney

被引：268

作者：

Matas, A. J. ^{[1
,2
]}

Smith, J. M. ^{[1
,3
]}

Skeans, M. A. ^{[1
]}

Thompson, B. ^{[1
]}

Gustafson, S. K. ^{[1
]}

Schnitzler, M. A. ^{[1
,4
]}

Stewart, D. E. ^{[5
,6
]}

Cherikh, W. S. ^{[5
,6
]}

Wainright, J. L. ^{[5
,6
]}

Snyder, J. J. ^{[1
,7
]}

Israni, A. K. ^{[1
,7
,8
]}

Kasiske, B. L. ^{[1
,8
]}

机构：

[1] Minneapolis Med Res Fdn Inc, Sci Registry Transplant Recipients, Minneapolis, MN USA

[2] Univ Minnesota, Dept Surg, Minneapolis, MN 55455 USA

[3] Univ Washington, Dept Pediat, Seattle, WA 98195 USA

[4] St Louis Univ, Sch Med, Ctr Outcomes Res, St Louis, MO USA

[5] Organ Procurement & Transplantat Network, Richmond, VA USA

[6] United Network Organ Sharing, Richmond, VA USA

[7] Univ Minnesota, Dept Epidemiol & Community Hlth, Minneapolis, MN USA

[8] Univ Minnesota, Hennepin Cty Med Ctr, Dept Med, Minneapolis, MN 55415 USA

来源：

AMERICAN JOURNAL OF TRANSPLANTATION | 2014年 / 14卷

关键词：

End-stage renal disease; kidney transplant; organ allocation; waiting list;

D O I：

10.1111/ajt.12579

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

For most end-stage renal disease patients, successful kidney transplant provides substantially longer survival and better quality of life than dialysis, and preemptive transplant is associated with better outcomes than transplants occurring after dialysis initiation. However, kidney transplant numbers in the us have not changed for a decade. Since 2004, the total number of candidates on the waiting list has increased annually. Median time to transplant for wait-listed adult patients increased from 2.7 years in 1998 to 4.2 years in 2008. The discard rate of deceased donor kidneys has also increased, and the annual number of living donor transplants has decreased. The number of pediatric transplants peaked at 899 in 2005, and has remained steady at approximately 750 over the past 3 years; 40.9% of pediatric candidates undergo transplant within 1 year of wait-listing. Graft survival continues to improve for both adult and pediatric recipients. Kidney transplant is one of the most cost-effective surgical interventions; however, average reimbursement for recipients with primary Medicare coverage from transplant through 1 year posttransplant was comparable to the 1-year cost of care for a dialysis patient. Rates of rehospitalization are high in the first year posttransplant; annual costs after the first year are lower.

引用

页码：11 / 44

页数：34