Rethinking procurement biopsy in donors with normal renal function: A barrier to kidney utilization without survival benefit

doi:10.5500/wjt.v16.i2.118088

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World Journal of Transplantation

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2220-3230

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

Retrospective Study

Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.

World J Transplant. Jun 18, 2026; 16(2): 118088
Published online Jun 18, 2026. doi: 10.5500/wjt.v16.i2.118088

Table 2 Nonuse reasons for deceased donor kidneys with normal kidney function recovered for transplant, n (%)

	Not biopsied (n = 84589)	Biopsied (n = 73776)	P value¹
Nonuse	3713 (4.4)	20824 (28.2)	< 0.001
Nonuse reason
Anatomy	870 (1.0)	1086 (1.5)	< 0.001
Biopsy	0 (0)	4371 (5.9)	< 0.001
Function	187 (0.2)	603 (0.8)	< 0.001
Medical social history	64 (0.1)	344 (0.5)	< 0.001
Infection	240 (0.3)	384 (0.5)	< 0.001
Too long preservation	74 (0.1)	263 (0.4)	< 0.001
Other	984 (1.2)	2340 (3.2)	< 0.001
No recipient found	1294 (1.5)	11433 (15.5)	< 0.001

¹Compared using χ² or Fisher’s exact test, as appropriate.

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Citation: Sibulesky L, Kaufman DM, Bakthavatsalam R, Leca N, Perkins JD. Rethinking procurement biopsy in donors with normal renal function: A barrier to kidney utilization without survival benefit. World J Transplant 2026; 16(2): 118088
URL: https://www.wjgnet.com/2220-3230/full/v16/i2/118088.htm
DOI: https://dx.doi.org/10.5500/wjt.v16.i2.118088

Sibulesky L, Kaufman DM, Bakthavatsalam R, Leca N, Perkins JD. Rethinking procurement biopsy in donors with normal renal function: A barrier to kidney utilization without survival benefit. World J Transplant 2026; 16(2): 118088 [PMID: 42281884 DOI: 10.5500/wjt.v16.i2.118088]

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