Center volume affects outcomes of pediatric kidney transplantation

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Higher-volume transplantation centers achieve better outcomes in children undergoing kidney transplantation, according to a study in Kidney Medicine.

The case-cohort study included data on 3762 kidney transplants in patients <18 years between 2010 and 2015, drawn from the Scientific Registry of Transplant Recipients. Procedures were performed at 115 centers, which were classified as low-volume (fewer than four transplantations per year), intermediate-volume (four to eight per year), and high-volume (more than eight per year). The 3-year graft survival was compared among these volume groups, with adjustment for covariates.

The three groups of recipients were similar in terms of sex,