Macroscopic assessment of the quality of cold perfusion after deceased‐donor kidney procurement: A United Kingdom population‐based cohort study

Concern regarding the quality of cold perfusion (QOP) during macroscopic assessment of procured kidneys is a common reason for discard. In the UK, QOP is routinely graded by both retrieving and implanting teams during back‐bench surgery as: 1 (good), 2 (fair), 3 (poor) or 4 (patchy). We evaluated th...

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Bibliographic Details
Published in:Clinical transplantation 2021-05, Vol.35 (5), p.e14272-n/a
Main Authors: Dabare, Dilan, Hodson, James, Nath, Jay, Sharif, Adnan, Kalia, Neena, Inston, Nicholas
Format: Article
Language:English
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Summary:Concern regarding the quality of cold perfusion (QOP) during macroscopic assessment of procured kidneys is a common reason for discard. In the UK, QOP is routinely graded by both retrieving and implanting teams during back‐bench surgery as: 1 (good), 2 (fair), 3 (poor) or 4 (patchy). We evaluated the association of this grading with organ utilization, graft outcomes, and agreement between teams. Data on all deceased‐donor kidneys procured between January 2000 and December 2016 were analyzed for discard rates, while association with graft outcomes was studied in single adult transplants. Of 31,167 kidneys procured, 90.6%, 5.7%, 1.7%, and 2.1% were assigned grades 1, 2, 3, and 4, respectively, at retrieval. QOP was an independent risk factor of discard, with the highest rates observed in grade 3 kidneys (41.8%), compared to 6.5% in grade 1 (aOR 7.67, 95% CI 5.44–10.82, p 
ISSN:0902-0063
1399-0012
DOI:10.1111/ctr.14272