HIGHLIGHTS

The C-reactive protein-to-albumin ratio (CAR) has been identified as a useful prognostic marker in various fields, but no study has evaluated its role in kidney transplant recipients. This single-center, retrospective cohort study confirmed a significant association between pretransplant CAR and the risk of mortality in kidney transplant recipients. In particular, high pretransplant CAR was associated with an increased risk of infection-related death. No association was found between CAR and death-censored graft failure or the occurrence of acute rejection.