Donors With a Prior History of Cancer: Factors of Non-Utilization of Kidneys for Transplantation.

2023

Lim, Wai H

Au, Eric

Teixeira-Pinto, Armando

Ooi, Esther

Opdam, Helen I

Chapman, Jeremy

Johnson, David W

Kanellis, John

Davies, Christopher E

Wong, Germaine

allograft failure

donor cancer

kidney donation

registry-based study

utilization

Journal Article

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10.3389/ti.2023.11883

Cancer transmission from deceased donors is an exceedingly rare but potentially fatal complication in transplant recipients. We aimed to quantify the likelihood of non-utilization of kidneys for transplantation from donors with a prior cancer history. We included all intended and actual deceased donors in Australia and New Zealand between 1989 and 2017. Association between prior cancer history and non-utilization of donor kidneys was examined using adjusted logistic regression. Of 9,485 deceased donors, 345 (4%) had a prior cancer history. Of 345 donors with a prior cancer history, 197 (57%) were utilized for transplantation. Donor characteristics of age, sex and comorbidities were similar between utilized and non-utilized donors with prior cancer. The time from cancer to organ donation was similar between utilized and non-utilized donors, irrespective of cancer subtypes. Donors with a prior cancer history were less likely to be utilized [adjusted OR (95% CI) 2.29 (1.68-3.13)] than donors without prior cancer. Of all actual donors, the adjusted OR for non-utilization among those with prior cancer was 2.36 (1.58-3.53). Non-melanoma skin cancer was the most frequent prior cancer type for utilized and non-utilized potential donors. Donors with prior cancers were less likely to be utilized for transplantation, with no discernible differences in cancer characteristics between utilized and non-utilized donors.

link

Transplant International : Official Journal of the European Society for Organ Transplantation 2023; 36

Transplant International : Official Journal of the European Society for Organ Transplantation

1432-2277