Donor kidney pathology combined with clinical parameters helps expand the kidney donor pool: a large-scale retrospective cohort study

Key Points

• To assess the safety and viability of single kidney transplantation from donors with varying Remuzzi scores.
• Retrospective cohort study analyzing outcomes of single kidney transplants
• Evaluation of grafts based on Remuzzi scores
• Analysis of kidney donor profile index (KDPI) and donor terminal creatinine levels.
• Single kidney transplantation is safe for grafts with Remuzzi scores ≤4.
• High-score donor kidneys may still have favorable graft prognosis when allocated using specific clinical criteria.