Accepting Kidneys of Varying Quality

This web app is a decision tool that helps aid kidney acceptance/rejection decision for a diseased donor kidney offer. It uses the methodology described in [cite paper] to give an estimate of the survival times if the offered kidney is accepted, or if it is rejected. An estimate of the benefit with desired level of statistical significance is also provided. The tool requires patient, donor and transplant center characteristics in its survival estimation model. The survival estimation model used in this tool is described in [cite paper].

Donor

Age group

Donor race

Blood type

History of diabetes

Yes

Unknown/Missing

Cause of death

Kidney Donor Profile Index (KDPI)

Body Mass Index (kg/m²)

Blood Urea Nitrogen (mg/dL)

Creatinine (mg/dL)

Hematocrit (%)

Recipient

Age at listing

Ethnicity

Race

HLA Mismatches

Gender

Male

Female

History of diabetes

Yes

Karnofsky performance score at transplant

Blood Type

CKD diagnosis

Previous malignancy at registration

Positive

Negative

Unknown/Missing

Patient calculated PRA at listing (%)

Patient most recent calculated PRA (%)

Body Mass Index (kg/m²)

Peripheral vascular disease

Positive

Negative

Unknown/Missing

Total serum albumin (g/dL) at listing

Patient resides in rural area

Yes

Dialysis time (days)

Characteristics of the Organ Procurement Organization (OPO)

OPO's number of associated transplant centers

1 14

OPO's annual transplant volume

OPO's Herfindahl–Hirschman index (HHI)

OPO's median waitimg time (days)

Advanced simulation settings

Maximum number of future provisional kidney offers

Likelihood of accepting the final provisional kidney offer regardless of the kidney quality

0 (Dialysis) 1 (Transplant)

Pre-Transplant quality of life

0 1

Post-Transplant quality of life

0 1

Number of simulation replications

Maximum waiting time on dialysis

Pre- and post- transplant survival curve fitting option

Patient opts for transplant if the estimated post transplant survival exceeds estimated survival on dialysis by (in days)

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Survival Statistics

Do you accept current kidney offer with respect to the provided info?