Patient  Death

Graft Failure

Variable

Odds Ratio

95% CI

Odds Ratio

95% CI

DGF– dialysis 1st week only 1.24 (1.17 - 1.32)* 1.24 (1.18 - 1.3) *
DGF– dialysis in 2 periods† 1.60 (1.45 - 1.78) * 1.66 (1.53 - 1.8) *
DGF– dialysis in more than 2 periods† 2.08 (1.83 - 2.36) * 2.23 (2.02 - 2.47) *
No DGF – some dialysis 1.61 (1.44 - 1.8) * 1.54 (1.41 - 1.69) *
No DGF – no dialysis

Reference

Reference

Recipient characteristics        
Female 0.92 (0.87 - 0.97) * 0.91 (0.87 - 0.95) *
   Race        
      African American 0.94 (0.88 - 1.01) * 1.27 (1.21 - 1.33) *
      White Reference   Reference  
      Other 0.70 (0.61 - 0.8) * 0.79 (0.71 - 0.88) *
   Age (years)        
      18-30 Reference   Reference  
      31-44 1.41 (1.21 - 1.63) * 0.86 (0.8 - 0.94) *
      45-59 2.17 (1.88 - 2.5) * 0.86 (0.79 - 0.93) *
> 60 3.38 (2.93 - 3.89) * 1.06 (0.98 - 1.16)
   BMI category (kg/m2)        
< 10 or Missing 1.01 (0.95 - 1.08) 1.04 (0.99 - 1.1)
>10 to <25 Reference   Reference  
> 25 to <30 0.91 (0.85 - 0.98) * 0.95 (0.9 - 1.01)
> 30 1.02 (0.94 - 1.11) 1.09 (1.02 - 1.16) *
   Primary cause of ESRD        
      Diabetes mellitus 1.55 (1.41 - 1.7) * 1.19 (1.1 - 1.28) *
      Hypertension 1.05 (0.95 - 1.16) 1.07 (0.99 - 1.15)
      Glomerulonephritis 0.81 (0.73 - 0.9) * 0.90 (0.83 - 0.98) *
      PKD 0.66 (0.58 - 0.76) * 0.70 (0.63 - 0.78) *
      Other Reference   Reference  
      Unknown 1.00 (0.89 - 1.12) 1.02 (0.93 - 1.11)
   Hispanic 1.49 (1.36 - 1.63) * 1.24 (1.16 - 1.33) *
   PVD 1.32 (1.19 - 1.46) * 1.24 (1.13 - 1.36) *
   Pre-Transplant Dialysis          
       None (pre-emptive) 0.96 (0.84 - 1.11) 0.92 (0.83 - 1.03)
       0-12 months Reference   Reference  
       13-24 months 1.02 (0.92 - 1.14) 1.00 (0.92 - 1.08)
       25-60 months 1.00 (0.92 - 1.1) 0.94 (0.87 - 1.01)
       More than 60 months 1.15 (1.03 - 1.28) * 1.00 (0.92 - 1.09)
Donor Characteristics        
      Female 1.03 (0.98 - 1.09) 1.08 (1.04 - 1.13) *
   Race        
      African American 1.08 (0.99 - 1.17) 1.18 (1.11 - 1.26) *
      White Reference   Reference  
      Other 0.98 (0.84 - 1.14) 1.00 (0.89 - 1.13)
   Age (years)        
         ≤ 18 1.03 (0.94 - 1.12) 1.03 (0.96 - 1.1)
    19-30 Reference   Reference  
    31-44 1.05 (0.97 - 1.13) 1.10 (1.03 - 1.17) *
    45-59 1.17 (1.07 - 1.26) * 1.25 (1.17 - 1.34) *
    ≥ 60 1.19 (1.04 - 1.36) * 1.44 (1.29 - 1.6) *
   BMI category (kg/m2)        
< 10 or Missing 0.97 (0.86 - 1.1) 1.01 (0.91 - 1.11)
>10 to <25 Reference   Reference  
> 25 to <30 0.94 (0.88 - 1) 0.95 (0.9 - 1)
> 30 1.01 (0.94 - 1.09) 0.95 (0.9 - 1.01)
   Death due to stroke 1.09 (1.02 - 1.16) * 1.11 (1.05 - 1.17) *
   Terminal Creatinine ≥ 1.5 0.94 (0.87 - 1.01) 1.01 (0.96 - 1.08)
   Hypertension history 1.02 (0.95 - 1.1) 1.06 (1 - 1.13) *
   Diabetes 1.14 (1 - 1.29) * 1.16 (1.04 - 1.28) *
Transplant Factors        
Donor Type        
      SCD Reference   Reference  
      ECD 1.19 (1.06 - 1.33) * 1.10 (1.01 - 1.2) *
      DCD 1.07 (0.88 - 1.3) 1.02 (0.87 - 1.19)
Peak PRA %        
      0-10% Reference   Reference  
      11-30% 1.02 (0.94 - 1.1) 1.07 (1 - 1.14)
>30% 1.19 (1.1 - 1.28) * 1.22 (1.15 - 1.3) *
      Unknown 1.19 (1.01 - 1.42) * 1.10 (0.95 - 1.26)
   HLA Mismatches        
      0 HLA mismatches Reference   Reference  
      1 HLA mismatches 1.09 (0.96 - 1.25) 1.08 (0.97 - 1.22)
      2 HLA mismatches 1.10 (0.97 - 1.23) 1.18 (1.07 - 1.3) *
      3 HLA mismatches 1.16 (1.04 - 1.29) * 1.22 (1.11 - 1.33) *
      4 HLA mismatches 1.18 (1.06 - 1.32) * 1.30 (1.19 - 1.42) *
      5 HLA mismatches 1.21 (1.08 - 1.35) * 1.29 (1.17 - 1.41*)
      6 HLA mismatches 1.22 (1.06 - 1.4) * 1.34 (1.2 - 1.5) *
Unknown 1.20 (1 - 1.45) * 1.27 (1.09 - 1.47) *
   CMV sero-pairing        
      Donor - / Recipient - Reference   Reference  
      Donor - / Recipient + 1.15 (1.04 - 1.27) * 1.12 (1.03 - 1.21) *
      Donor + / Recipient - 1.27 (1.15 - 1.42) * 1.24 (1.14 - 1.35) *
      Donor + / Recipient + 1.23 (1.11 - 1.35) * 1.16 (1.08 - 1.25) *
      Unknown 1.21 (1.07 - 1.36) * 1.17 (1.06 - 1.28) *
   Cold-time        
0 - 14 hours Reference   Reference  
      15 - 19 hours 0.99 (0.92 - 1.07) 1.02 (0.96 - 1.08)
      20 - 25 hours 1.07 (1 - 1.16) 1.11 (1.05 - 1.18) *
      26+ hours 1.05 (0.97 - 1.13) 1.07 (1.01 - 1.14) *
      Unknown 1.01 (0.9 - 1.13) 1.03 (0.95 - 1.13)
Year        
      1995     Reference  
      1996 0.94 (0.85 - 1.03) 0.94 (0.87 - 1.02)
      1997 0.99 (0.9 - 1.09) 0.95 (0.88 - 1.02)
      1998 1.01 (0.91 - 1.11) 0.95 (0.88 - 1.02)
      1999 0.99 (0.89 - 1.1) 0.92 (0.85 - 1)
      2000 1.09 (0.97 - 1.21) 1.02 (0.94 - 1.11)
      2001 1.04 (0.92 - 1.17) 0.92 (0.84 - 1.01)
      2002 0.96 (0.83 - 1.1) 0.96 (0.86 - 1.06)
      2003 0.96 (0.82 - 1.14) 0.90 (0.79 - 1.03)
      2004 0.92 (0.7 - 1.22) 0.90 (0.73 - 1.12)
* P-value < 0.05
†Periods of early dialysis were first week, the second week, weeks 3 or 4, the second month and the third month post-transplant
Table 5: Adjusted associations of early post-transplant dialysis utilization with graft failure and patient death.