Journal
SCANDINAVIAN JOURNAL OF GASTROENTEROLOGY
Volume 57, Issue 3, Pages 345-351Publisher
TAYLOR & FRANCIS LTD
DOI: 10.1080/00365521.2021.2012590
Keywords
Pancreas transplantation; outcome; graft survival; risk indices
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Funding
- Oslo University Hospital, Department of Research and Development, Division of Emergencies and Critical Care
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This study validated the Pancreas Donor Risk Index (PDRI) in a Norwegian population and found that it was unable to predict 1-year graft survival. Significant differences were also observed between the Norwegian and US populations.
Objectives Despite advances in immunosuppression and surgical technique, pancreas transplantation is still associated with a significant graft loss rate. The Pancreas Donor Risk Index (PDRI) is a pre-transplant scoring tool derived from a US population. We sought to validate the PDRI in a Norwegian population. Methods We retrospectively retrieved donor data for 344 pancreas transplants undertaken in Norway between 2000 and 2019, utilising the Scandiatransplant database, and matched these to the respective recipients. The PDRI score was calculated for each transplanted pancreas, these were then stratified into quintiles. The association between the PDRI quintiles and 1-year graft survival was calculated, and this was repeated for the different types of pancreas transplantation. The association between PDRI as a continuous variable, and graft survival was determined. Donor and recipient data were compared to the original US population. Results The overall 1-year graft survival was 82.7%. There were no significant differences in survival between the different PDRI quintiles. When viewed as a continuous variable, increased PDRI score was not associated with decreased graft survival. Significant differences between the Norwegian and US populations were found. Conclusions When applied to a Norwegian population, the PDRI score was unable to predict 1-year graft survival.
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