Table 3.
Pre-KAS | Post-KAS | |||
---|---|---|---|---|
Risk factor | Transplant IRR (95% CI) | P Value | Transplant IRR (95% CI) | P Value |
Calendar time (per yr) | 0.96a (0.94 to 0.99) | <0.01 | 1.13a (1.01 to 1.27) | 0.03 |
Female sex | 0.98 (0.96 to 1.01) | 0.3 | 0.99 (0.95 to 1.04) | 0.8 |
ABO type | ||||
A (versus O) | 1.56a (1.51 to 1.60) | <0.001 | 1.44a (1.37 to 1.51) | <0.001 |
B | 0.89a (0.85 to 0.93) | <0.001 | 0.90a (0.84 to 0.97) | <0.01 |
AB | 2.57a (2.42 to 2.74) | <0.001 | 2.72a (2.48 to 2.99) | <0.001 |
Black | 0.90a (0.87 to 0.93) | <0.001 | 1.15a (1.10 to 1.21) | <0.001 |
Hispanic | 0.76a (0.73 to 0.79) | <0.001 | 0.99 (0.94 to 1.06) | 0.9 |
Pediatric | 6.97a (6.52 to 7.44) | <0.001 | 5.56a (4.98 to 6.20) | <0.001 |
CPRA (per 10 units): 0–80 | 0.99a (0.98 to 1) | <0.01 | 1.01 (1 to 1.02) | 0.2 |
Rate increase if CPRA>80 | 5.14a (4.72 to 5.60) | <0.001 | 0.95 (0.79 to 1.16) | 0.6 |
CPRA (per 10 units): 80–100 | 0.28a (0.26 to 0.29) | <0.001 | 1.24a (1.12 to 1.37) | <0.001 |
Wait time (log yrs) | 1.13a (1.12 to 1.14) | <0.001 | 0.89a (0.88 to 0.90) | <0.001 |
Transplant rate was modeled using exponential regression. IRR>1 indicates a higher rate of transplant (better access to DDKT); IRR<1 indicates a lower rate (worse access to DDKT). Candidates of ABO type A or AB and pediatric candidates had greater rate of DDKT. Black candidates had a lower rate of DDKT than other patients in the pre-KAS era, but a higher rate than other patients in the post-KAS era. Hispanic candidates had a lower rate of kidney transplantation in the pre-KAS era, but no difference from other patients in the post-KAS era.
P<0.05.