Comparison of outcomes of kidney transplantation from donation after brain death, donation after circulatory death, and donation after brain death followed by circulatory death donors

Guodong Chen, Chang Wang, Dicken Shiu Chung Ko, Jiang Qiu, Xiaopeng Yuan, Ming Han, Changxi Wang, Xiaoshun He, Lizhong Chen

Research output: Contribution to journalArticlepeer-review

13 Scopus citations

Abstract

Background: There are three categories of deceased donors of kidney transplantation in China, donation after brain death (DBD), donation after circulatory death (DCD), and donation after brain death followed by circulatory death (DBCD) donors. The aim of this study was to compare the outcomes of kidney transplantation from these three categories of deceased donors. Methods: We retrospectively reviewed 469 recipients who received deceased kidney transplantation in our hospital from February 2007 to June 2015. The recipients were divided into three groups according to the source of their donor kidneys: DBD, DCD, or DBCD. The primary endpoints were delayed graft function (DGF), graft loss, and patient death. Results: The warm ischemia time was much longer in DCD group compared to DBCD group (18.4 minutes vs 12.9 minutes, P <.001). DGF rate was higher in DCD group than in DBD and DBCD groups (22.5% vs 10.2% and 13.8%, respectively, P =.021). Urinary leakage was much higher in DCD group (P =.049). Kaplan-Meier analysis showed that 1-, 2-, and 3-year patient survivals were all comparable among the three groups. Conclusion: DBCD kidney transplantation has lower incidences of DGF and urinary leakage than DCD kidney transplant. However, the overall patient and graft survival were comparable among DBD, DCD, and DBCD kidney transplantation.

Original languageEnglish (US)
Article numbere13110
JournalClinical Transplantation
Volume31
Issue number11
DOIs
StatePublished - Nov 2017

Keywords

  • donation after brain death
  • donation after brain death followed by circulatory death
  • donation after circulatory death
  • kidney transplantation

ASJC Scopus subject areas

  • Transplantation

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