A study published in Transplantation reports that long-term kidney graft survival rates are lower in the USA than they are in Europe. Gondos and colleagues compared graft survival at 1 year, 5 years and 10 years in Europeans and white, African and Hispanic Americans. Although 1-year graft survival rates were similar, 5-year and 10-year graft survival rates for deceased donor grafts were higher in Europeans than in any of the three US populations studied.