Table 1.
Donor Characteristics | Hazard Ratio* | 95% CI* | P* |
---|---|---|---|
Age | |||
Age-40 yr (applies to all ages) | 1.013 | 1.011–1.015 | < 0.0001 |
Age-18 yr (applies to age < 18 yr) | 0.98 | 0.97–0.99 | 0.0033 |
Age-50 yr (applies to age > 50 yr) | 1.011 | 1.005–1.016 | 0.0001 |
African American race (versus white) | 1.20 | 1.13–1.27 | < 0.0001 |
Hypertensive | 1.13 | 1.08–1.19 | < 0.0001 |
Diabetic | 1.14 | 1.04–1.24 | 0.0040 |
Creatinine | |||
Scr-1 (applies to all Scr values) | 1.25 | 1.17–1.33 | < 0.0001 |
Scr-1.5 (applies if Scr > 1.5 only) | 0.81 | 0.74–0.89 | < 0.0001 |
Cause of death CVA | 1.09 | 1.04–1.14 | 0.0002 |
Height (per 10 cm increase) | 0.96 | 0.94–0.97 | < 0.0001 |
Weight (per 5 kg increase below 80 kg) | 0.98 | 0.97–0.99 | 0.0003 |
Donation after cardiac death | 1.14 | 1.02–1.28 | 0.0246 |
Hepatitis C | 1.27 | 1.13–1.43 | < 0.0001 |
CI, confidence interval; CVA, cerebrovascular accident; Scr, serum creatinine.
Derived from the Kidney Donor Risk Index (KDRI) developed by Rao et al (12) assuming an average transplant (2 mismatches at the HLA-B locus, 1 mismatch at the HLA-DR locus, 20 hours cold ischemia time, not en bloc or double transplant).
Calculation: Kidney Donor Profile Index = exp(−0.0194 × I[age < 18yr] × [age − 18yr] + 0.0128 × [age − 40yr] + 0.0107 × I[age > 50yr] + 0.179 × I[race = African American] + 0.126 × I [hypertensive] + 0.130 × I[diabetic] + 0.220 × [Scr − 1mg/dL] − 0.209 × I[Scr>1.5mg/dL] × [Scr −1.5mg/dL] + 0.0881 × I[cause of death = CVA] − 0.0464 × [{height − 170cm}/10] − 0.0199 × I[weight < 80 kg] × [{weight − 80kg}/5] + 0.133 × I[donation after cardiac death] + 0.240 × I[hepatitis C] − 0.0766 where I is equal to 1 if the condition is true and I is equal to 0 if the condition is false.