Table 2.

Independent associations with preemptive deceased donor kidney transplantation

Adjusted Odds Ratio (95% CI)P Value
Recipient factors
 Recipient age (per decade)1.12 (1.10–1.14)<0.001
 Female sex1.33 (1.27–1.39)<0.001
 Ethnicity
  CaucasianReference
  African American0.44 (0.41–0.47)<0.001
  Other0.53 (0.49–0.57)<0.001
 Impaired functional status0.88 (0.82–0.96)0.003
 Last PRA greater than 40%0.77 (0.72–0.83)<0.001
 Hepatitis C1.31 (1.20–1.44)<0.001
 Previous nonkidney transplant1.94 (1.67–2.26)<0.001
 Private insurance3.15 (3.01–3.29)<0.001
 Etiology of renal disease
  GNReference
  Diabetes0.69 (0.64–0.74)<0.001
  Polycystic kidney disease1.36 (1.26–1.46)<0.001
  Hypertension0.75 (0.70–0.81)<0.001
  Vasculitis0.68 (0.60–0.77)<0.001
  Congenital1.28 (1.12–1.46)<0.001
  Interstitial disease1.35 (1.22–1.50)<0.001
  Neoplasm1.04 (0.86–1.27)0.70
  Transplant-related1.20 (0.98–1.48)0.08
  Miscellaneous1.51 (1.39–1.63)<0.001
 Blood type
  OReference
  A1.21 (1.15–1.27)<0.001
  B1.10 (1.02–1.18)0.01
  AB1.56 (1.02–1.18)<0.001
Donor factors
 Transplant year1.03 (1.03–1.04)<0.001
 ECD transplant0.90 (0.85–0.98)0.01
 DCD transplant0.88 (0.81–0.96)0.005
 Zero-antigen mismatch transplant1.45 (1.37–1.54)<0.001
 Donor age (per yr increase)0.96 (0.95–0.98)<0.001
 Cold ischemia time (per 12 h)0.89 (0.87–0.92)<0.001
 Center median wait time (per yr)0.98 (0.94–1.03)0.50
  • CI, confidence interval; PRA, percent reactive antibody, ECD, expanded criteria donor; DCD, declared cardiac death donor.