Skip to main content

Main menu

  • Home
  • Content
    • Published Ahead of Print
    • Current Issue
    • Subject Collections
    • JASN Podcasts
    • Archives
    • Saved Searches
    • ASN Meeting Abstracts
  • Authors
    • Submit a Manuscript
    • Author Resources
  • Editorial Team
  • Subscriptions
  • More
    • About JASN
    • Alerts
    • Advertising
    • Editorial Fellowship Program
    • Feedback
    • Reprints
    • Impact Factor
  • ASN Kidney News
  • Other
    • CJASN
    • Kidney360
    • Kidney News Online
    • American Society of Nephrology

User menu

  • Subscribe
  • My alerts
  • Log in
  • My Cart

Search

  • Advanced search
American Society of Nephrology
  • Other
    • CJASN
    • Kidney360
    • Kidney News Online
    • American Society of Nephrology
  • Subscribe
  • My alerts
  • Log in
  • My Cart
Advertisement
American Society of Nephrology

Advanced Search

  • Home
  • Content
    • Published Ahead of Print
    • Current Issue
    • Subject Collections
    • JASN Podcasts
    • Archives
    • Saved Searches
    • ASN Meeting Abstracts
  • Authors
    • Submit a Manuscript
    • Author Resources
  • Editorial Team
  • Subscriptions
  • More
    • About JASN
    • Alerts
    • Advertising
    • Editorial Fellowship Program
    • Feedback
    • Reprints
    • Impact Factor
  • ASN Kidney News
  • Follow JASN on Twitter
  • Visit ASN on Facebook
  • Follow JASN on RSS
  • Community Forum
Brief Communication
You have accessRestricted Access

Trends in the Timing of Pre-emptive Kidney Transplantation

Morgan E. Grams, Allan B. Massie, Josef Coresh and Dorry L. Segev
JASN September 2011, 22 (9) 1615-1620; DOI: https://doi.org/10.1681/ASN.2011010023
Morgan E. Grams
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Allan B. Massie
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Josef Coresh
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Dorry L. Segev
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data Supps
  • Info & Metrics
  • View PDF
Loading

Article Figures & Data

Figures

  • Tables
  • Additional Files
  • Figure 1.
    • Download figure
    • Open in new tab
    • Download powerpoint
    Figure 1.

    Recipient native eGFR at PKT. (A) Distributions of eGFR in 1995, 2002, and 2009 are illustrated by kernel density plots. (B) Distribution of eGFR categories among PKT recipients, 1995–2009.

  • Figure 2.
    • Download figure
    • Open in new tab
    • Download powerpoint
    Figure 2.

    Kaplan-Meier estimates of (A) patient survival, and (B) death-censored graft survival in PKT recipients, by pretransplant eGFR.

Tables

  • Figures
  • Additional Files
    • View popup
    Table 1.

    Characteristics associated with early PKT (pretransplant eGFR ≥15), 1995–2009

    CharacteristicAdjusted Relative Rate (95% CI)P Value
    Transplant year1.12 (1.11–1.13)<0.001
    Age (per decade, <50 yr)*0.91 (0.87–0.95)<0.001
    Age (per decade, ≥50 yr)*1.04 (0.98–1.09)0.2
    Female gender0.87 (0.82–0.93)<0.001
    Race
        Caucasianreference
        African American0.90 (0.81–1.00)0.04
        other0.78 (0.70–0.86)<0.001
    Cause of ESRD
        glomerulonephritisreference
        diabetes1.52 (1.39–1.66)<0.001
        polycystic kidney disease0.77 (0.70–0.86)<0.001
        hypertension1.07 (0.97–1.19)0.2
        renovascular0.96 (0.77–1.19)0.7
        congenital0.94 (0.76–1.17)0.6
        tubulointerstitial1.30 (1.15–1.46)<0.001
        neoplasm1.02 (0.53–1.96)0.9
        other1.13 (1.01–1.27)0.04
    Poor functional status**1.14 (1.04–1.25)0.006
    Blood type
        Areference
        B0.86 (0.77–0.95)0.004
        AB1.07 (0.94–1.21)0.3
        O0.95 (0.89–1.01)0.1
    Private insurance1.00 (0.93–1.08)0.9
    Living donor1.03 (0.97–1.11)0.3
    Donor age1.00 (1.00–1.00)0.6
    • * Age was modeled as a spline with a knot at 50 yr after bivariate exploration with the outcome.

    • ** Poor functional status reflected any impairment in functional status at transplantation or registration. The 4.5% of recipients missing functional status were assumed to be 100% functional.

    • View popup
    Table 2.

    PKT recipient and graft survival associated with pretransplant eGFR*

    eGFR at PKTAdjusted HR of DeathAdjusted HR of Death-Censored Graft Loss
    eGFR <10referencereference
    eGFR 10–151.10 (95% CI 0.99–1.21, P = 0.07)0.97 (95% CI 0.88–1.08, P = 0.6)
    eGFR 15–201.16 (95% CI 1.00–1.34, P = 0.05)0.95 (95% CI 0.81–1.11, P = 0.5)
    eGFR ≥201.12 (95% CI 0.93–1.34, P = 0.2)0.94 (95% CI 0.77–1.15, P = 0.5)
    • *Propensity score-adjusted.

Additional Files

  • Figures
  • Tables
  • BRIEF COMMUNICATION Trends in the Timing of Preemptive Kidney Transplantation

    Files in this Data Supplement:

    • Supplemental Data
PreviousNext
Back to top

In this issue

Journal of the American Society of Nephrology: 22 (9)
Journal of the American Society of Nephrology
Vol. 22, Issue 9
1 Sep 2011
  • Table of Contents
  • Table of Contents (PDF)
  • Index by author
View Selected Citations (0)
Print
Download PDF
Sign up for Alerts
Email Article
Thank you for your help in sharing the high-quality science in JASN.
Enter multiple addresses on separate lines or separate them with commas.
Trends in the Timing of Pre-emptive Kidney Transplantation
(Your Name) has sent you a message from American Society of Nephrology
(Your Name) thought you would like to see the American Society of Nephrology web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Citation Tools
Trends in the Timing of Pre-emptive Kidney Transplantation
Morgan E. Grams, Allan B. Massie, Josef Coresh, Dorry L. Segev
JASN Sep 2011, 22 (9) 1615-1620; DOI: 10.1681/ASN.2011010023

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Request Permissions
Share
Trends in the Timing of Pre-emptive Kidney Transplantation
Morgan E. Grams, Allan B. Massie, Josef Coresh, Dorry L. Segev
JASN Sep 2011, 22 (9) 1615-1620; DOI: 10.1681/ASN.2011010023
del.icio.us logo Digg logo Reddit logo Twitter logo CiteULike logo Facebook logo Google logo Mendeley logo
  • Tweet Widget
  • Facebook Like

Jump to section

  • Article
    • Abstract
    • CONCISE METHODS
    • DISCLOSURES
    • Acknowledgments
    • Footnotes
    • REFERENCES
  • Figures & Data Supps
  • Info & Metrics
  • View PDF

More in this TOC Section

  • Reciprocal Spatiotemporally Controlled Apoptosis Regulates Wolffian Duct Cloaca Fusion
  • DnaJ Heat Shock Protein Family B Member 9 Is a Novel Biomarker for Fibrillary GN
  • BPI Fold-Containing Family A Member 2/Parotid Secretory Protein Is an Early Biomarker of AKI
Show more Brief Communication

Cited By...

  • Living Donor Kidney Transplantation: Facilitating Education about Live Kidney Donation--Recommendations from a Consensus Conference
  • Preemptive Deceased Donor Kidney Transplantation: Considerations of Equity and Utility
  • Google Scholar

Similar Articles

Related Articles

  • PubMed
  • Google Scholar

Articles

  • Current Issue
  • Early Access
  • Subject Collections
  • Article Archive
  • ASN Annual Meeting Abstracts

Information for Authors

  • Submit a Manuscript
  • Author Resources
  • Editorial Fellowship Program
  • ASN Journal Policies
  • Reuse/Reprint Policy

About

  • JASN
  • ASN
  • ASN Journals
  • ASN Kidney News

Journal Information

  • About JASN
  • JASN Email Alerts
  • JASN Key Impact Information
  • JASN Podcasts
  • JASN RSS Feeds
  • Editorial Board

More Information

  • Advertise
  • ASN Podcasts
  • ASN Publications
  • Become an ASN Member
  • Feedback
  • Follow on Twitter
  • Password/Email Address Changes
  • Subscribe

© 2021 American Society of Nephrology

Print ISSN - 1046-6673 Online ISSN - 1533-3450

Powered by HighWire