Table 1.
Transplant candidate characteristics at waitlisting among candidates that accepted vs. turned down the first organ offer
| Candidate’s first offer accepted N=7,134 | Candidate’s first offer turned down N=130,565 | P-value | |
|---|---|---|---|
| Candidate characteristics | |||
| Median age, years (IQR) | 51 (37, 61) | 53 (42, 61) | <0.001 |
| Male sex, n (%) | 3,800 (53%) | 81,670 (63%) | <0.001 |
| African American race, n (%) | 1,902 (27%) | 38,456 (29%) | <0.001 |
| Median body mass index, kg/m2 (IQR) | 27 (23, 31) | 28 (24, 32) | <0.001 |
| Cause of kidney disease, n (%) | <0.001 | ||
| Diabetes | 41,225 (32%) | 1,685 (24%) | |
| Hypertension | 29,825 (23%) | 1,330 (19%) | |
| Glomerular disease | 16,417 (13%) | 952 (13%) | |
| Cystic disease | 9,762 (7%) | 601 (8%) | |
| Other | 19,969 (15%) | 1,651 (23%) | |
| Unknown | 13,367 (10%) | 915 (13%) | |
| Diabetes mellitus, n (%) | 2,352 (33%) | 54,007 (42%) | <0.001 |
| Insurance type, n (%) | <0.001 | ||
| Private | 2,701 (38%) | 57,526 (44%) | |
| Public | 4,417 (62%) | 72,564 (56%) | |
| Self or donation | 10 (<1%) | 267 (<1%) | |
| Unknown | 6 (<1%) | 208 (<1%) | |
| Recipient functional status, n (%) | <0.001 | ||
| No Assistance | 4,842 (68%) | 90,062 (69%) | |
| Some Assistance | 1,896 (27%) | 30,417 (23%) | |
| Total Assistance | 124 (2%) | 1,240 (1%) | |
| Unknown | 272 (4%) | 8,846 (7%) | |
| Always active on the waitlist, n (%) | 4,599 (64%) | 55,938 (43%) | <0.001 |
| Median days from candidate waitlisting to offer (IQR) | 131 (41, 361) | 114 (43, 257) | <0.002 |
| Median dialysis vintage at waitlisting, days (IQR) | 370 (66, 993) | 272 (0, 692) | <0.001 |
| Maximum panel reactive antibody, n (%) | <0.001 | ||
| ≤20% | 4,264 (60%) | 97,793 (75%) | |
| 21–79% | 1,028 (14%) | 19,219 (15%) | |
| ≥80% | 1,812 (25%) | 13,510 (10%) | |
| Median time to transplantation by listing DSA (IQR) | 854 (727, 1194) | 1,129 (823, 1437) | <0.001 |
| Competitive DSA, n (%) | 1,981 (28%) | 45,541 (35%) | <0.001 |
| Waitlisted at an aggressive transplant center (top 25th percentile of centers accepting high-KDPI kidneys), n (%) | 1,501 (21%) | 31,747 (24%) | <0.001 |
Abbreviations: IQR = interquartile range; DSA = Donor Service Area; KDPI = Kidney Donor Profile Index; PHS = Public Health Service