{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T00:20:19Z","timestamp":1773015619753,"version":"3.50.1"},"reference-count":31,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,2,6]],"date-time":"2026-02-06T00:00:00Z","timestamp":1770336000000},"content-version":"vor","delay-in-days":5,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000968","name":"American Heart Association","doi-asserted-by":"publisher","award":["23CDA1050881"],"award-info":[{"award-number":["23CDA1050881"]}],"id":[{"id":"10.13039\/100000968","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["K23HL171828"],"award-info":[{"award-number":["K23HL171828"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Transplantation"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Simultaneous Heart\u2010Kidney Transplantation (SHKT) following donation after circulatory determination of death (DCD) is increasing. Whether kidney allograft outcomes differ from donation after brain death (DBD) SHKT recipients has not been well studied.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We identified adults in the UNOS database who were listed for SHKT and transplanted after 2018. Baseline characteristics of DBD and DCD recipients and donors were compared. Outcomes of interest included primary nonreceipt of a kidney allograft, acute post\u2010transplant dialysis, and chronic dialysis or renal transplantation. Survival to 1\u2010year and renal allograft function at follow up were also assessed. Univariate and multivariable logistic regression were used to identify risk factors for the individual outcomes with Cox proportional hazard modeling leveraged to identify risk factors for 1\u2010year mortality. One\u2010year survival was compared between both groups using Kaplan\u2010Meier and Cox\u2010Hazards ratio.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>From October 18, 2018 to December 31, 2023, there were 1956 SHKT recipients, with 1828 receiving allografts from DBD donors and 128 from DCD donors. DCD recipients were significantly older, listed at lower transplant status, and less likely to be on inotropic or intra\u2010aortic balloon pump support before transplant. DCD donors were younger and had higher baseline eGFR. After a median follow\u2010up of 847 days, there was no significant difference in renal allograft outcomes between groups. There was no difference in 1\u2010year survival between DCD and DBD SHKT recipients, and DCD status was not associated with 1\u2010year survival after adjustment for key donor and recipient characteristics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Kidney allograft outcomes are similar in DBD and DCD SHKT recipients, which supports DCD in expanding the donor pool for SHKT candidates.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ctr.70456","type":"journal-article","created":{"date-parts":[[2026,2,6]],"date-time":"2026-02-06T14:53:17Z","timestamp":1770389597000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Kidney Allograft Outcomes of Dual\u2010Organ Heart Kidney Transplant Recipients Following Donation After Circulatory Determination of Death"],"prefix":"10.1111","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-1021-5384","authenticated-orcid":false,"given":"Ananya","family":"Gorrai","sequence":"first","affiliation":[{"name":"Department of Medicine Division of Cardiology University of Texas Southwestern Medical Center  Dallas Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aparajith","family":"Kannapiran","sequence":"additional","affiliation":[{"name":"Department of Medicine Division of Cardiology University of Texas Southwestern Medical Center  Dallas Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1066-9368","authenticated-orcid":false,"given":"Maryjane","family":"Farr","sequence":"additional","affiliation":[{"name":"Department of Medicine Division of Cardiology University of Texas Southwestern Medical Center  Dallas Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Wojciechowski","sequence":"additional","affiliation":[{"name":"Department of Medicine Division of Nephrology University of Texas Southwestern Medical Center  Dallas Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher","family":"Wrobel","sequence":"additional","affiliation":[{"name":"Department of Medicine Division of Cardiology University of Texas Southwestern Medical Center  Dallas Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Swee\u2010Ling","family":"Levea","sequence":"additional","affiliation":[{"name":"Department of Medicine Division of Nephrology University of Texas Southwestern Medical Center  Dallas Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicholas","family":"Hendren","sequence":"additional","affiliation":[{"name":"Department of Medicine Division of Cardiology University of Texas Southwestern 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University of Texas Southwestern Medical Center  Dallas Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher","family":"Heid","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular and Thoracic Surgery University of Texas Southwestern Medical Center  Dallas Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthias","family":"Peltz","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular and Thoracic Surgery University of Texas Southwestern Medical Center  Dallas Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lauren K.","family":"Truby","sequence":"additional","affiliation":[{"name":"Department of Medicine Division of Cardiology University of Texas Southwestern Medical Center  Dallas Texas 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