UK Renal Registry 19th Annual Report: Chapter 3 Demographic and Biochemistry Profile of Kidney Transplant Recipients in the UK in 2015: National and Centre-specific Analyses

Abstract

There was a 1% fall in overall renal transplant numbers in 2015, with a fall in kidney donation from donors after brainstem death (6%) and from living donors (5%). . In 2015, death-censored renal transplant failure rates in prevalent patients were similar to previous years at 2.7% per annum. Transplant patient death rates were similar at 2.5 per 100 patient years.The median age of incident and prevalent renal transplant patients in the UK was 50.9 and 53.8 years respectively. The median eGFR of prevalent renal transplant recipients was 51.8 ml/min/1.73 m2.The median eGFR of patients one year after transplantation was 57.5 ml/min/1.73 m2 post live transplant, 53.7 ml/min/1.73 m2 post brainstem death transplant and 50.4 ml/min/1.73 m2 post circulatory death transplant.In 2015, 13.3% of prevalent transplant patients had eGFR ,30 ml/min/1.73 m2.The median decline in eGFR slope beyond the first year after transplantation was-0.56 ml/min/1.73 m2/year.In 2015, infection (24%) and malignancy (22%) remained the commonest causes of death in patients with a functioning renal transplant.