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The DOI matches its Crossref record; 31 of the 31 references it cites were found in a registry or an index.

Kidney-Failure Risk Projection for the Living Kidney-Donor Candidate

Open access
Grams, Morgan E., Sang, Yingying, Levey, Andrew S., Matsushita, Kunihiro, Ballew, Shoshana, Chang, Alex R., Chow, Eric K.H., Kasiske, Bertram L., Kovesdy, Csaba P., Nadkarni, Girish N., Shalev, Varda, Segev, Dorry L., Coresh, Josef, Lentine, Krista L., Garg, Amit X.·2016·New England Journal of Medicine

Abstract

BACKGROUND: Evaluation of candidates to serve as living kidney donors relies on screening for individual risk factors for end-stage renal disease (ESRD). To support an empirical approach to donor selection, we developed a tool that simultaneously incorporates multiple health characteristics to estimate a person's probable long-term risk of ESRD if that person does not donate a kidney. METHODS: We used risk associations from a meta-analysis of seven general population cohorts, calibrated to the population-level incidence of ESRD and mortality in the United States, to project the estimated long-term incidence of ESRD among persons who do not donate a kidney, according to 10 demographic and health characteristics. We then compared 15-year projections with the observed risk among 52,998 living kidney donors in the United States. RESULTS: A total of 4,933,314 participants from seven cohorts were followed for a median of 4 to 16 years. For a 40-year-old person with health characteristics that were similar to those of age-matched kidney donors, the 15-year projections of the risk of ESRD in the absence of donation varied according to race and sex; the risk was 0.24% among black men, 0.15% among black women, 0.06% among white men, and 0.04% among white women. Risk projections were higher in the presence of a lower estimated glomerular filtration rate, higher albuminuria, hypertension, current or former smoking, diabetes, and obesity. In the model-based lifetime projections, the risk of ESRD was highest among persons in the youngest age group, particularly among young blacks. The 15-year observed risks after donation among kidney donors in the United States were 3.5 to 5.3 times as high as the projected risks in the absence of donation. CONCLUSIONS: Multiple demographic and health characteristics may be used together to estimate the projected long-term risk of ESRD among living kidney-donor candidates and to inform acceptance criteria for kidney donors. (Funded by the National Institute of Diabetes and Digestive and Kidney Diseases and others.).

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Metadata

Authors
Grams, M. E., Sang, Y., Levey, A. S., Matsushita, K., Ballew, S., Chang, A. R., Chow, E. K. H., Kasiske, B. L., Kovesdy, C. P., Nadkarni, G. N., Shalev, V., Segev, D. L., Coresh, J., Lentine, K. L., & Garg, A. X.
Venue
New England Journal of Medicine
Published
2016-02-04
Volume
374
Issue
5
Pages
411-421
ISSN
  • 0028-4793 (ISSN-L)
  • 1533-4406
OpenAlex
W2275619513
Cited by
454
References
31
FWCI
44.32
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Kidney-Failure Risk Projection for the Living Kidney-Donor Candidate. https://app.cochat.ai/papers/10.1056/nejmoa1510491
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Grams, M. E., Sang, Y., Levey, A. S., Matsushita, K., Ballew, S., Chang, A. R., Chow, E. K. H., Kasiske, B. L., Kovesdy, C. P., Nadkarni, G. N., Shalev, V., Segev, D. L., Coresh, J., Lentine, K. L., & Garg, A. X. (2016). Kidney-Failure Risk Projection for the Living Kidney-Donor Candidate. New England Journal of Medicine. https://doi.org/10.1056/nejmoa1510491

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