You have accessJournal of UrologyTransplantation & Vascular Surgery I1 Apr 2014PD30-10 DONATION AFTER CIRCULATORY DEATH (DCD) RENAL ALLOGRAFTS: RECIPIENT OUTCOMES BASED ON DONOR AGE IN A CONTEMPORARY CANADIAN COHORT Neal Rowe, Melissa Huynh, Phillippe Violette, Corinne Weernink, Alp Sener, and Patrick Luke Neal RoweNeal Rowe More articles by this author , Melissa HuynhMelissa Huynh More articles by this author , Phillippe ViolettePhillippe Violette More articles by this author , Corinne WeerninkCorinne Weernink More articles by this author , Alp SenerAlp Sener More articles by this author , and Patrick LukePatrick Luke More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2014.02.2133AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Donation after Circulatory Death (DCD) renal allografts continues to be an under-utilized organ source. While DCD grafts have comparable outcomes to neurological determination of death (NDD) grafts, the impact of donor age has been addressed in only a limited number of studies. The aim of our study is to compare patient outcome in recipients of DCD allografts from donors greater than 50 years of age to those 50 years of age and younger. METHODS Institutional review board approved our study. 118 kidney transplant recipients received DCD allografts at our institution between July 2006 and September 2013. Recipient outcome variables (creatinine clearance (CrCl), readmission rate, length of hospital stay (LOS), or delayed graft function (DGF)) were compared for donors older than age 50 and 50 years of age or less. Student t-test and Pearson chi-square test were used in analysis. RESULTS Mean recipient age was 43.4 years (SD =14.5) and median follow-up was 20.5 months (range 1.1 to 86.6). 45.8% of DCD donors were 51 years of age and older. Recipients of kidney transplants from DCD donors 51 years of age and greater demonstrated lower CrCl at 1 month (50.3 mL/min vs. 72.7 mL/min, p<0.001), 3 months (62.5 mL/min vs. 87.9 ml/min, p = 0.002), and 1 year (66.2 mL/min vs. 87.8 mL/min, p = 0.013). The two groups did not differ with regard to delayed graft function χ2 =0.573, p = 0.706, graft loss χ2 = 0.779, p = 1.00, or hospital readmission χ2 = 0.294, p = 0.355. Hospital LOS was equivalent between the two groups (13.9 days vs. 13.8 days, p = 0.929). Recipients of older DCD kidneys (>50 years of age) tended to be older (59.2 vs. 49.3, p <0.001). CONCLUSIONS Recipients of DCD kidneys had similar short-term outcomes (DGF, LOS) between the two age categories. Recipients of the allografts from donors greater than 50 years of age demonstrated lower creatinine clearance at one year. Longer follow-up is required to determine long-term survival of these allografts. © 2014FiguresReferencesRelatedDetails Volume 191Issue 4SApril 2014Page: e777 Advertisement Copyright & Permissions© 2014MetricsAuthor Information Neal Rowe More articles by this author Melissa Huynh More articles by this author Phillippe Violette More articles by this author Corinne Weernink More articles by this author Alp Sener More articles by this author Patrick Luke More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...