Table 2.
Baseline characteristics among virtual and physical crossmatch cohorts before and after the 2014 kidney allocation system (KAS) implementation
Pre-KAS (N = 31, 670) |
Post-KAS (N = 49,801) |
||||
---|---|---|---|---|---|
Physical XM (N = 28,586) | Virtual XM (N = 3,084) | Physical XM (N = 43,253) | Virtual XM (N = 6,548) | P value (between VXM cohorts pre- and post-KAS | |
Donor age (years) # | 40 [26, 51] | 41 [25, 52] | 39 [26, 50] | 39 [27, 51] | 0.9 |
Female donor (%) | 39.7 | 37.9 | 38.7 | 38 | 0.9 |
Black Donor (%) | 14 | 13.3 | 14.5 | 13.6 | 0.8 |
Donor creatinine (mg/dL),# | 0.9 [0.7, 1.3] | 1 [0.7, 1.4] | 0.9 [0.7, 1.3] | 1 [0.7, 1.5] | 0.3 |
KDPI (%),# | 39 [18, 63] | 43 [20, 66] | 37 [17, 60] | 40 [20, 62] | 0.02 |
KDPI > 85 (%) | 6.3 | 7.7 | 4.9 | 5.9 | 0.001 |
DCD donor (%) | 17 | 14.1 | 20.7 | 18.8 | <0.001 |
Machine perfusion (%) | 39.5 | 18.5 | 40 | 25 | <0.001 |
Donor kidney biopsy (%) | 48.7 | 43.9 | 48.5 | 46.4 | 0.02 |
Import kidney (%) | 21.5 | 28.9 | 29.2 | 38.9 | <0.001 |
Recipient age (years),# | 56 [45, 64] | 57 [47, 64] | 54 [43, 63] | 56 [45,64] | 0.01 |
Female recipient (%) | 39 | 36 | 41 | 38 | 0.02 |
Recipient race (%) | 0.01 | ||||
White | 59.7 | 61.9 | 55.9 | 61.1 | |
Black | 32.3 | 23.4 | 35.4 | 26 | |
Asian | 6.2 | 12.9 | 6.5 | 11 | |
Other | 1.8 | 1.8 | 2.2 | 1.9 | |
Pre-transplant dialysis (%) | 88.7 | 85.5 | 89.6 | 86.2 | 0.4 |
Prior kidney transplantation (%) | 13.1 | 8.3 | 14.1 | 9.5 | 0.05 |
CPRA (%) | <0.001 | ||||
<10 % | 65.2 | 75.7 | 61.7 | 69 | |
10% - 80% | 18.9 | 15.9 | 18.7 | 15.6 | |
81% - 98% | 13.1 | 7.2 | 8.7 | 7 | |
99% −100% | 2.9 | 1.2 | 11 | 8.4 | |
Zero HLA ABDR mismatch (%) | 8.3 | 7.3 | 4.6 | 5.6 | 0.002 |
Median [IQR]
CPRA: Calculated panel reactive antibody; DCD: Donation after cardiac death; HLA: Human leukocyte antigen; KDPI: Kidney donor profile index; PKD: Polycystic kidney disease; XM: crossmatch