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Articles Published Processes
5/29/2026 8:41:27 AM | Browse: 1 | Download: 14
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Received |
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2025-12-23 08:40 |
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Peer-Review Started |
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2025-12-23 08:40 |
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First Decision by Editorial Office Director |
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2025-12-29 09:13 |
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Return for Revision |
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2025-12-29 09:13 |
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Revised |
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2026-01-05 20:22 |
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Publication Fee Transferred |
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Second Decision by Editor |
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2026-02-14 02:35 |
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Second Decision by Editor-in-Chief |
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Final Decision by Editorial Office Director |
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2026-02-14 09:50 |
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Articles in Press |
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2026-02-14 09:50 |
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Edit the Manuscript by Language Editor |
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Typeset the Manuscript |
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2026-03-30 14:31 |
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Publish the Manuscript Online |
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2026-05-29 08:41 |
| ISSN |
2220-3230 (online) |
| Open Access |
This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/ |
| Copyright |
© The Author(s) 2026. Published by Baishideng Publishing Group Inc. All rights reserved. |
| Article Reprints |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
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| Permissions |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
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| Publisher |
Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA |
| Website |
http://www.wjgnet.com |
| Category |
Transplantation |
| Manuscript Type |
Retrospective Study |
| Article Title |
Rethinking procurement biopsy in donors with normal renal function: A barrier to kidney utilization without survival benefit
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| Manuscript Source |
Invited Manuscript |
| All Author List |
Lena Sibulesky, Daniel M Kaufman, Ramasamy Bakthavatsalam, Nicolae Leca and James D Perkins |
| ORCID |
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| Funding Agency and Grant Number |
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| Corresponding Author |
Lena Sibulesky, Associate Professor, MD, Division of Transplant Surgery, Department of Surgery, University of Washington Medical Center, 1959 NE Pacific Street, Seattle, WA 98195, United States. lenasi@uw.edu |
| Key Words |
Kidney transplant; Procurement biopsy; Death-censored graft survival; Donor kidney discard; Renal function |
| Core Tip |
Using national Organ Procurement and Transplantation Network data, we show that procurement biopsy in deceased donors with preserved renal function does not improve prognostic accuracy or graft survival. Instead, biopsy is associated with substantially higher discard rates and prolonged cold ischemia, with much of its adverse impact mediated through ischemic delay and early graft dysfunction. Advanced analytic approaches, including mediation, restricted mean survival time, and decision-curve analyses, demonstrate no added clinical benefit beyond standard donor and recipient characteristics. These findings challenge routine procurement biopsy in this donor population and support re-evaluating biopsy-driven acceptance practices to improve kidney utilization. |
| Publish Date |
2026-05-29 08:41 |
| 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 |
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