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Background

Standard-criteria donation after circulatory death (DCD) kidney transplants (KTx) have higher primary nonfunction, delayed graft function (DGF), and rejection rates than age-matched donation after brain death (DBD) but similar graft survival. Data on expanded-criteria DCD are conflicting and many centers remain concerned regarding their use.

Methods

In this single-center observational study with 5-year follow-up, we analyzed data from 112 primary DCD Maastricht category-III single KTx receiving similar organ preservation and maintenance immunosuppression. Patients were sorted as young DCD (donor< 60 years, 72 recipients) or old DCD (donor≥ 60 years, 40 recipients). Old DCD outcomes were compared with young DCD and to a DBD control group (old DBD, donor≥ 60 years, 40 recipients).

Results

After 5 years, old DCD showed lower patient survival (66% vs 85%; P= 0.014), death-censored …