{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:28:56Z","timestamp":1753878536712,"version":"3.41.2"},"reference-count":14,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2020,4,27]],"date-time":"2020-04-27T00:00:00Z","timestamp":1587945600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000102","name":"Health Resources and Services Administration","doi-asserted-by":"publisher","award":["HHSH250201500009C"],"award-info":[{"award-number":["HHSH250201500009C"]}],"id":[{"id":"10.13039\/100000102","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Transplantation"],"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The Organ Procurement and Transplantation Network's Membership and Professional Standards Committee implemented an operational rule on March 1, 2017, intended to increase the number of kidneys transplanted from donors with kidney donor profile index (KDPI) \u2265 85% into recipients with poor estimated posttransplant survival (\u2265 80%). Using data from the Scientific Registry of Transplant Recipients, ordinal and logistic regressions estimated, respectively, differences in kidney yield (number of transplanted kidneys per recovered donor) and offer acceptance practices before and after implementation. We included donors recovered January 1, 2016\u2010February 28, 2018. The odds of higher kidney yield for donors with KDPI\u00a0\u2265\u00a085% were 27% higher after implementation (odds ratio, <jats:sub>1.06<\/jats:sub>1.27<jats:sub>1.53<\/jats:sub>), but odds were also 20% higher for donors with KDPI\u00a0&lt;\u00a085% (<jats:sub>1.04<\/jats:sub>1.20<jats:sub>1.38<\/jats:sub>). Thus, kidney yield was higher for all donors, with a slightly larger difference for donors with KDPI\u00a0\u2265\u00a085%. Additionally, the difference in offer acceptance before and after implementation was similar regardless of KDPI (KDPI\u00a0&lt;\u00a085%, <jats:sub>0.97<\/jats:sub>1.02<jats:sub>1.07<\/jats:sub>; KDPI\u00a0\u2265\u00a085%, <jats:sub>0.95<\/jats:sub>1.04<jats:sub>1.14<\/jats:sub>). In the first year after implementation, kidney yield increased for donors with KDPI\u00a0&lt;\u00a0and \u2265 85%. Thus, kidney yield from higher KDPI donors may have increased without the operational rule.<\/jats:p>","DOI":"10.1111\/ctr.13872","type":"journal-article","created":{"date-parts":[[2020,4,9]],"date-time":"2020-04-09T20:43:47Z","timestamp":1586465027000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Association between changes in Membership and Professional Standards Committee review criteria and use of higher\u2010risk kidneys for transplant"],"prefix":"10.1111","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2584-3018","authenticated-orcid":false,"given":"Andrew","family":"Wey","sequence":"first","affiliation":[{"name":"Scientific Registry of Transplant Recipients Hennepin Healthcare Research Institute Minneapolis Minnesota"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5761-0446","authenticated-orcid":false,"given":"Nicholas","family":"Salkowski","sequence":"additional","affiliation":[{"name":"Scientific Registry of Transplant Recipients Hennepin Healthcare Research Institute Minneapolis Minnesota"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert J.","family":"Carrico","sequence":"additional","affiliation":[{"name":"Organ Procurement and Transplantation Network Richmond Virginia"},{"name":"United Network for Organ Sharing Richmond Virginia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sharon","family":"Shepherd","sequence":"additional","affiliation":[{"name":"Organ Procurement and Transplantation Network Richmond Virginia"},{"name":"United Network for Organ Sharing Richmond Virginia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bertram L.","family":"Kasiske","sequence":"additional","affiliation":[{"name":"Scientific Registry of Transplant Recipients Hennepin Healthcare Research Institute Minneapolis Minnesota"},{"name":"Department of Medicine Hennepin Healthcare University of Minnesota Minneapolis Minnesota"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bryn","family":"Thompson","sequence":"additional","affiliation":[{"name":"Scientific Registry of Transplant Recipients Hennepin Healthcare Research Institute Minneapolis Minnesota"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7607-0430","authenticated-orcid":false,"given":"Ajay K.","family":"Israni","sequence":"additional","affiliation":[{"name":"Scientific Registry of Transplant Recipients Hennepin Healthcare Research Institute Minneapolis Minnesota"},{"name":"Department of Medicine Hennepin Healthcare University of Minnesota Minneapolis Minnesota"},{"name":"Department of Epidemiology and Community Health University of Minnesota Minneapolis Minnesota"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jon J.","family":"Snyder","sequence":"additional","affiliation":[{"name":"Scientific Registry of Transplant Recipients Hennepin Healthcare Research Institute Minneapolis Minnesota"},{"name":"Department of Epidemiology and Community Health University of Minnesota Minneapolis Minnesota"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,4,27]]},"reference":[{"doi-asserted-by":"publisher","key":"e_1_2_7_2_1","DOI":"10.1111\/ajt.13955"},{"doi-asserted-by":"publisher","key":"e_1_2_7_3_1","DOI":"10.1097\/TP.0000000000001539"},{"doi-asserted-by":"publisher","key":"e_1_2_7_4_1","DOI":"10.1111\/ajt.12702"},{"doi-asserted-by":"publisher","key":"e_1_2_7_5_1","DOI":"10.1111\/ajt.12707"},{"doi-asserted-by":"publisher","key":"e_1_2_7_6_1","DOI":"10.1111\/ajt.13783"},{"doi-asserted-by":"publisher","key":"e_1_2_7_7_1","DOI":"10.1016\/j.trre.2013.01.002"},{"doi-asserted-by":"publisher","key":"e_1_2_7_8_1","DOI":"10.1111\/ctr.13057"},{"unstructured":"WickhamH FrancoisR HenryL M\u00fcllerK.dplyr: a grammar of data manipulation. R package version 0.7.4. 2017.https:\/\/CRAN.R\u2010project.org\/package=dplyr. Accessed July 16 2019.","key":"e_1_2_7_9_1"},{"unstructured":"WoodS ScheiplF.gamm4: Generalized Additive Mixed Models using 'mgcv' and 'lme4'.2017.https:\/\/cran.r\u2010project.org\/web\/packages\/gamm4\/gamm4.pdf. Accessed July 16 2019.","key":"e_1_2_7_10_1"},{"doi-asserted-by":"publisher","key":"e_1_2_7_11_1","DOI":"10.1111\/ajt.14907"},{"doi-asserted-by":"publisher","key":"e_1_2_7_12_1","DOI":"10.1111\/j.1600-6143.2012.04345.x"},{"doi-asserted-by":"publisher","key":"e_1_2_7_13_1","DOI":"10.1111\/ajt.15274"},{"doi-asserted-by":"publisher","key":"e_1_2_7_14_1","DOI":"10.1111\/ajt.14391"},{"doi-asserted-by":"publisher","key":"e_1_2_7_15_1","DOI":"10.1111\/ajt.15132"}],"container-title":["Clinical Transplantation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fctr.13872","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ctr.13872","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ctr.13872","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ctr.13872","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,5]],"date-time":"2023-09-05T04:36:35Z","timestamp":1693888595000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ctr.13872"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,4,27]]},"references-count":14,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2020,7]]}},"alternative-id":["10.1111\/ctr.13872"],"URL":"https:\/\/doi.org\/10.1111\/ctr.13872","archive":["Portico"],"relation":{},"ISSN":["0902-0063","1399-0012"],"issn-type":[{"type":"print","value":"0902-0063"},{"type":"electronic","value":"1399-0012"}],"subject":[],"published":{"date-parts":[[2020,4,27]]},"assertion":[{"value":"2019-07-16","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-03-31","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-04-27","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e13872"}}