Impact of Willingness to Accept Hepatitis C Seropositive Kidneys Among Hepatitis C RNA-positive Waitlisted Patients.

Background: Kidney transplantation from hepatitis C seropositive (HCV+) donors may benefit hepatitis C RNA-positive (RNA+) candidates, but it is unclear how the willingness to be listed for and accept such kidneys affects waitlist and transplant outcomes. Methods: In a single-center retrospective analysis, HCV+ transplant candidates (N=169) listed from March 2004 to February 2015 were evaluated. All RNA+ candidates were offered the option to be listed for HCV+ donors. RNA- candidates were listed only for HCV- donors. Results: Fifty-seven patients (51% of all RNA+ transplant candidates) willing to accept HCV+ donors were listed for both HCV+ and HCV- donor kidneys. During 6-yr follow up, 43 of 57 (75%) patients accepting HCV+ vs. 19 of 55 (35%) patients not accepting HCV+ received a deceased donor kidney transplant (DDKT, P

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