Chapter 3 demographic and biochemistry profile of kidney transplant recipients in the UK in 2016

Abstract

There was a 5% increase in overall renal transplant numbers from 2015 to 2016, with an increase in kidney transplants from donors after brainstem death (9%), donors after cardiac death (13%) but a fall from living donors (-3%). In 2016, death-censored renal transplant failure rates in prevalent patients were similar to previous years at 2.4% per annum. Transplant patient death rates were similar at 2.5 per 100 patient years. The median age of incident and prevalent renal transplant patients in the UK was 51.4 and 54.3 years respectively. The median EGFR of prevalent renal transplant recipients was 52.2 ml/min/1.73 m2. The median EGFR of patients one year after transplantation was 57.2 ml/min/1.73 m2 post live transplant, 52.4 ml/min/1.73 m2 post brainstem death transplant and 48.4 ml/min/1.73 m2 post circulatory death transplant. In 2016, 13.1% of prevalent transplant patients had EGFR ,30 ml/min/1.73 m2. The median decline in EGFR slope beyond the first year after transplantation was -0.7 ml/min/1.73 m2/year. In 2016, malignancy (23%) replaced infection (22%) as the commonest cause of death in patients with a functioning renal transplant. Data completeness for attainment of blood pressure targets remained variable between centres

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