Kidney transplant practice patterns and outcome benchmarks over 30 years: The 2018 report of the NAPRTCS

the NAPRTCS investigators

Research output: Contribution to journalArticle

Abstract

The NAPRTCS has collected clinical information on children undergoing renal transplantation since 1987 and now includes information on 12 920 renal transplants in 11 870 patients. Since the first data analysis in 1989, NAPRTCS reports have documented marked improvements in patient and allograft outcomes after pediatric renal transplantation in addition to identifying factors associated with both favorable and poor outcomes. The registry has served to document and influence practice patterns, clinical outcomes, and changing trends in renal transplantation and also provides historical perspective. This report highlights current practices in an era of major changes in DD kidney allocation and continuing steroid minimization. This report presents outcomes of the patients in the NAPRTCS transplant registry up to end of 2017. In particular, an increase in the cumulative incidence of late first AR has occurred in the most recent cohort, while all prior cohorts had a lower cumulative incidence of late first AR.

Original languageEnglish (US)
Article numbere13597
JournalPediatric Transplantation
DOIs
StateAccepted/In press - Jan 1 2019

Fingerprint

Benchmarking
Kidney Transplantation
Transplants
Kidney
Registries
Physicians' Practice Patterns
Incidence
Allografts
Steroids
Pediatrics

Keywords

  • acute rejection
  • graft survival
  • infections
  • kidney
  • malignancies
  • pediatric
  • transplantation

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Transplantation

Cite this

Kidney transplant practice patterns and outcome benchmarks over 30 years : The 2018 report of the NAPRTCS. / the NAPRTCS investigators.

In: Pediatric Transplantation, 01.01.2019.

Research output: Contribution to journalArticle

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abstract = "The NAPRTCS has collected clinical information on children undergoing renal transplantation since 1987 and now includes information on 12 920 renal transplants in 11 870 patients. Since the first data analysis in 1989, NAPRTCS reports have documented marked improvements in patient and allograft outcomes after pediatric renal transplantation in addition to identifying factors associated with both favorable and poor outcomes. The registry has served to document and influence practice patterns, clinical outcomes, and changing trends in renal transplantation and also provides historical perspective. This report highlights current practices in an era of major changes in DD kidney allocation and continuing steroid minimization. This report presents outcomes of the patients in the NAPRTCS transplant registry up to end of 2017. In particular, an increase in the cumulative incidence of late first AR has occurred in the most recent cohort, while all prior cohorts had a lower cumulative incidence of late first AR.",
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