{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T00:46:03Z","timestamp":1772757963997,"version":"3.50.1"},"reference-count":63,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2017,7,4]],"date-time":"2017-07-04T00:00:00Z","timestamp":1499126400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Transplantation"],"published-print":{"date-parts":[[2017,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The value of importing expanded criteria donor (<jats:styled-content style=\"fixed-case\">ECD<\/jats:styled-content>) kidneys is uncertain.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We retrospectively reviewed our single\u2010center experience with <jats:styled-content style=\"fixed-case\">ECD<\/jats:styled-content> kidney transplants (<jats:styled-content style=\"fixed-case\">KT<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Over 12.8\u00a0years, we performed 497 <jats:styled-content style=\"fixed-case\">ECD KT<\/jats:styled-content>s including 247 local and 250 imported from other donor service areas. The import <jats:styled-content style=\"fixed-case\">ECD<\/jats:styled-content> group had more donors (16% vs 9%) \u2265 age 70, more zero human leukocyte antigen mismatches (14% vs 2%), more <jats:styled-content style=\"fixed-case\">KT<\/jats:styled-content>s with a cold ischemia time &gt;30\u00a0hours (46% vs 19%), and fewer kidneys managed with pump preservation (78% vs 92%, all <jats:italic>P<\/jats:italic>\u2264.05) compared to the local <jats:styled-content style=\"fixed-case\">ECD<\/jats:styled-content> group. Mean Kidney Donor Profile Index were 80% import vs 84% local. With a mean follow\u2010up of 55\u00a0months, actual patient and graft survival rates were 71% and 58% in import vs 76% and 58% in local <jats:styled-content style=\"fixed-case\">ECD KT<\/jats:styled-content>s, respectively. Death\u2010censored graft survival rates were 70% in import vs 69% in local <jats:styled-content style=\"fixed-case\">ECD KT<\/jats:styled-content>s. Delayed graft function occurred in 28% import vs 23% local <jats:styled-content style=\"fixed-case\">ECD KT<\/jats:styled-content>s (<jats:italic>P<\/jats:italic>=NS) whereas the incidence of primary nonfunction was slightly higher with import <jats:styled-content style=\"fixed-case\">ECD<\/jats:styled-content> kidneys (4.8% vs 2.4%, <jats:italic>P<\/jats:italic>=.23).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Midterm outcomes are remarkably similar for import vs local <jats:styled-content style=\"fixed-case\">ECD KT<\/jats:styled-content>s, suggesting that broader sharing of <jats:styled-content style=\"fixed-case\">ECD<\/jats:styled-content> kidneys may improve utilization without compromising outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ctr.13029","type":"journal-article","created":{"date-parts":[[2017,6,14]],"date-time":"2017-06-14T08:56:38Z","timestamp":1497430598000},"source":"Crossref","is-referenced-by-count":11,"title":["Analysis of local versus imported expanded criteria donor kidneys: A single\u2010center experience with 497 <scp>ECD<\/scp> kidney transplants"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7511-6556","authenticated-orcid":false,"given":"Muhammad A.","family":"Khan","sequence":"first","affiliation":[{"name":"Department of Surgery Section of Transplantation Wake Forest School of Medicine  Winston\u2010Salem NC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hany","family":"El\u2010Hennawy","sequence":"additional","affiliation":[{"name":"Department of Surgery Section of Transplantation Wake Forest School of Medicine  Winston\u2010Salem NC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alan C.","family":"Farney","sequence":"additional","affiliation":[{"name":"Department of Surgery Section of Transplantation Wake Forest School of Medicine  Winston\u2010Salem NC 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