Abstract
The assessment of chronic changes in deceased donor kidney procurement biopsies contributes to organ underutilization, but these biopsies have poor reproducibility and inconsistent associations with post-transplant outcomes despite the frequency with which they are used to determine whether donated kidneys are transplantable.1–3 These limitations have been attributed to differences in the way these biopsies are performed and interpreted compared with other kidney biopsies used in clinical practice, including the frequent use of wedge rather than core sampling technique, frozen section rather than formalin-fixed paraffin-embedded processing, and interpretation by on-call nonrenal pathologists.
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