Revisiting the “Weekend Effect” on Adult and Pediatric Liver and Kidney Offer Acceptance

Takayuki Yamamoto; Anushi Shah; Mike Fruscione; Shoko Kimura; Nahel Elias; Heidi Yeh; Tatsuo Kawai; James F. Markmann

doi:10.12659/AOT.937825

04 November 2022 : Original article

Revisiting the “Weekend Effect” on Adult and Pediatric Liver and Kidney Offer Acceptance

Takayuki Yamamoto^1ABCDEF*, Anushi Shah^1E, Mike Fruscione^1E, Shoko Kimura^1E, Nahel Elias^1E, Heidi Yeh^1E, Tatsuo Kawai^1E, James F. Markmann^1ADEG

DOI: 10.12659/AOT.937825

Ann Transplant 2022; 27:e937825

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Table 4 Logistic regression for risk factors of declined to the initial offers in adult deceased kidneys.

	Univariate			Multivariate
	Odds ratio	95%CI	p-value	Odds ratio	95%CI	p-value
Age ≥60yo	3.81	3.64–3.99	^**	1.92	1.69–2.18	^**
Gender (Male)	0.83	0.80–0.86	^**	0.95	0.88–1.03	0.234
Race (African American)	1.25	1.19–1.32	^**	0.95	0.85–1.06	0.347
Cause of death (stroke)	1.79	1.72–1.87	^**	0.97	0.86–1.10	0.681
h/o hypertension	2.66	2.55–2.76	^**	1.50	1.37–1.64	^**
h/o diabetes	3.09	2.94–3.24	^**	1.90	1.71–2.11	^**
Donor heavy alcohol use	0.91	0.86–0.95	^**	0.94	0.86–1.03	0.209
Donor tobacco use	1.57	1.50–1.64	^**	1.18	1.08–1.29	^**
Terminal pH<7.4	1.52	1.46–1.58	^**	1.09	1.01–1.18	^*
Na ≥160 mg/dL	0.74	0.68–0.80	^**	0.73	0.61–0.87	^*
Terminal BUN	1.01	1.01–1.01	^**	–	–
Terminal Cre >2.5 mg/dL	2.32	2.21–2.43	^**	2.18	1.99–2.38	^**
Proteinuria	1.28	1.23–1.33	^**	1.13	1.05–1.22	^*
BMI ≥30	1.19	1.14–1.23	^**	0.95	0.87–1.02	0.172
Cardiac arrest period	1.00	1.00–1.01	^**	1.00	0.99–1.00	0.933
Clinical infection	0.91	0.87–0.95	^**	0.94	0.87–1.03	0.195
KDPI ≥85%	5.54	5.31–5.79	^**	2.43	2.13–2.76	^**
HBc-Abs	2.05	1.91–2.20	^**	1.31	1.13–1.53	^**
HCV-Abs	1.82	1.72–1.92	^**	2.21	1.98–2.47	^**
DCD	1.03	0.98–1.07		–	–
Weekend	1.12	1.07–1.17	^**	1.11	1.02–1.20	^*
^* ^**

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Revisiting the “Weekend Effect” on Adult and Pediatric Liver and Kidney Offer Acceptance

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