A novel allocation strategy for the difficult-to-allocate donor: audit of deceased donor kidneys utilised for preemptive recipients within Western Australia

Rishabh Kulkarni; Zo E Wong; Jonathan Downing; Ramyasuda Swaminathan; Doris Chan; Aron Chakera; Abu Abraham; Ashley Irish; Wai Lim; Lloyd J D'Orsogna

doi:10.1111/imj.15950

A novel allocation strategy for the difficult-to-allocate donor: audit of deceased donor kidneys utilised for preemptive recipients within Western Australia

Intern Med J. 2023 Feb;53(2):280-284. doi: 10.1111/imj.15950.

Authors

Rishabh Kulkarni¹, Zo E Wong², Jonathan Downing², Ramyasuda Swaminathan³, Doris Chan⁴, Aron Chakera^{4

5}, Abu Abraham³, Ashley Irish³, Wai Lim^{4

5}, Lloyd J D'Orsogna^{2

5}

Affiliations

¹ Department of Medicine, Fiona Stanley Hospital, Perth, Western Australia, Australia.
² Department of Clinical Immunology and PathWest, Fiona Stanley Hospital, Perth, Western Australia, Australia.
³ Department of Nephrology, Fiona Stanley Hospital, Perth, Western Australia, Australia.
⁴ Department of Nephrology, Sir Charles Gairdner Hospital, Perth, Western Australia, Australia.
⁵ School of Medicine, University of Western Australia, Perth, Western Australia, Australia.

PMID: 36822603
DOI: 10.1111/imj.15950

Abstract

Kidney donor allocation can occasionally be difficult in Australia given a small population spread over vast distances. Therefore, between 2017 and 2019 our service allowed transplantation from deceased donors into local (same-state) preemptive recipients, only if no well-matched dialysis-dependent transplant waitlist recipient was available. Transplantation using this novel allocation pathway was associated with good clinical and immunological outcomes.

Keywords: kidney; preemptive; transplantation.

MeSH terms

Graft Survival
Humans
Kidney
Kidney Transplantation*
Renal Dialysis
Tissue Donors
Western Australia