Outcomes of Kidney Grafts Refused by One or More Centers and Subsequently Transplanted at a Single United Kingdom Center

Nearly 10% of kidney transplants in our center were performed with grafts refused by one or more centers as “unsuitable.” The graft and patient survivals were similar to those of standard grafts. None of the factors for refusal of kidneys by other centers predicted graft failure at 3 years. There may be an element of subjective assessment and subsequently a “cascade effect” involved in refusal of some of these kidneys.