Comparison of cadaveric renal allograft survival between multiorgan donors and kidney donors

Nationwide Outcomes after Renal Transplantation from Kidney-Only versus Multiple-Organ Deceased Donors

“…18 However, this and other studies suggest that although grafts obtained from KO donors are associated with statistically slightly inferior graft survival and a higher incidence of DGF, they actually perform quite well and only make up a small portion of transplantable organs available for the ever-expanding waiting list. [5][6][7]19 The major strength of this study is the use of propensity score matching to allow for comparison of KO donor recipients to a well-matched cohort of recipients of kidneys from MO donors. The weakness of this study is its retrospective nature.…”

“…5 On the other hand, preoperative donor health status is a key driver in determining which organs will be procured at the time of organ donation, and many studies have demonstrated that kidney-only (KO) donors tend to be older and have a higher burden of medical comorbidities. 6,7 Despite the differences that exist between multiple-organ (MO) donors and KO donors, current scoring systems do not factor the number of organs procured when trying to predict graft function of a transplanted kidney. 2 Multiple single-center studies have demonstrated inferior outcomes in grafts from KO deceased donors when compared with those donated by MO donors.…”

Does Multiorgan Versus Kidney-Only Cadaveric Organ Procurement Affect Graft Outcomes?

“…5,6 Other series showed no implications of multiorgan harvesting on early function and survival of kidneys. 7,8 Nowadays, as the protocols for donor management care are well established, 9 this may no longer be an issue. The outcomes of these two types of non-heart-beating donors have recently been addressed by Goldsmith et al, 3 who concluded that the number of harvested organs did not influence graft outcomes.…”

Graft survival after kidney transplantation with standard versus prolonged kidney procurement time

“…There has been a decline in harvest time priority for kidneys, and they are normally removed from the donor after all other vascularized organs (i.e., heart, lungs, pancreas, liver and small bowel) have been retrieved. 2,3 This is probably because kidneys tend to tolerate ischemic injury better than other organs.…”