Table 2.
Exposure Groups | HRa | 95% CI | P Value |
---|---|---|---|
(A) Overall cohort (n=437,619) | |||
Waitlist or nondiabetic donor | REF | ||
Diabetic donor | 0.91 | 0.84 to 0.98 | 0.02 |
(B) Divided by KDPI risk category (n=437,619) | |||
Waitlist or nondiabetic donor, KDPI≤85% | REF | ||
Diabetic donor, KDPI≤85% | 0.76 | 0.68 to 0.85 | <0.001 |
Diabetic donor, KDPI>85% | 1.09 | 0.97 to 1.22 | 0.15 |
Nondiabetic donor, KDPI>85% | 0.86 | 0.81 to 0.91 | <0.001 |
(C) Candidate willing to accept ECD kidney (n=304,701) | |||
Waitlist or nondiabetic donor, KDPI≤85% | REF | ||
Diabetic donor, KDPI≤85% | 0.75 | 0.66 to 0.84 | <0.001 |
Diabetic donor, KDPI>85% | 1.10 | 0.98 to 1.24 | 0.10 |
Nondiabetic donor, KDPI>85% | 0.86 | 0.81 to 0.92 | <0.001 |
(D) Candidate always active on the waitlist (n=320,282) | |||
Waitlist or nondiabetic donor, KDPI≤85% | REF | ||
Diabetic donor, KDPI≤85% | 0.79 | 0.69 to 0.90 | <0.001 |
Diabetic donor, KDPI>85% | 1.19 | 1.04 to 1.36 | 0.01 |
Nondiabetic donor, KDPI>85% | 0.93 | 0.87 to 0.99 | 0.04 |
(E) Candidate waitlisted in 2004 or later (n=271,403) | |||
Waitlist or nondiabetic donor, KDPI≤85% | REF | ||
Diabetic donor, KDPI≤85% | 0.68 | 0.56 to 0.83 | <0.001 |
Diabetic donor, KDPI>85% | 1.17 | 0.98 to 1.40 | 0.09 |
Nondiabetic donor, KDPI>85% | 0.77 | 0.69 to 0.86 | <0.001 |
(F) Candidate age <40 yr (n=98,652) | |||
Waitlist or nondiabetic donor, KDPI≤85% | REF | ||
Diabetic donor, KDPI≤85% | 0.82 | 0.61 to 1.09 | 0.18 |
Diabetic donor, KDPI>85% | 1.12 | 0.76 to 1.65 | 0.57 |
Nondiabetic donor, KDPI>85% | 0.84 | 0.68 to 1.02 | 0.09 |
(G) Candidate age ≥40 yr (n=338,287) | |||
Waitlist or nondiabetic donor, KDPI≤85% | REF | ||
Diabetic donor, KDPI≤85% | 0.74 | 0.66 to 0.84 | <0.001 |
Diabetic donor, KDPI>85% | 1.04 | 0.92 to 1.17 | 0.51 |
Nondiabetic donor, KDPI>85% | 0.83 | 0.78 to 0.88 | <0.001 |
HR, hazard ratio; 95% CI, 95% confidence interval; REF, Reference group; KDPI, Kidney Donor Profile Index; ECD, Expanded criteria donor.
All multivariable models were adjusted for candidate diabetes status, center median waitlist time tertile, three-way interaction between donor diabetes status, candidate diabetes status, and center median waitlist time tertile, in addition to candidate age, sex, waitlist year, race, ABO blood type, panel reactive antibody, and dialysis vintage.