[Long-term patient and graft survival in kidney transplant recipients].

Autor: Álvarez-Rangel LE; Instituto Mexicano del Seguro Social, Centro Médico Nacional La Raza, Hospital de Especialidades 'Dr. Antonio Fraga Mouret', Departamento de Nefrología. Ciudad de México, México luis.enrique.alvarez.rangel@gmail.com., Martínez-Guillén P; Instituto Mexicano del Seguro Social, Centro Médico Nacional La Raza, Hospital de Especialidades 'Dr. Antonio Fraga Mouret', Unidad de Trasplante Renal. Ciudad de México, México., Granados-Ventura L; Instituto Mexicano del Seguro Social, Centro Médico Nacional La Raza, Hospital de Especialidades 'Dr. Antonio Fraga Mouret', Departamento de Nefrología. Ciudad de México, México., Cuamba-Nambo I; Instituto Mexicano del Seguro Social, Centro Médico Nacional La Raza, Hospital de Especialidades 'Dr. Antonio Fraga Mouret', Departamento de Nefrología. Ciudad de México, México., Pérez-López MJ; Instituto Mexicano del Seguro Social, Centro Médico Nacional La Raza, Hospital de Especialidades 'Dr. Antonio Fraga Mouret', Departamento de Nefrología. Ciudad de México, México., Chávez-López EL; Instituto Mexicano del Seguro Social, Centro Médico Nacional La Raza, Hospital de Especialidades 'Dr. Antonio Fraga Mouret', Departamento de Nefrología. Ciudad de México, México., Aguilar-Martínez C; Instituto Mexicano del Seguro Social, Centro Médico Nacional La Raza, Hospital de Especialidades 'Dr. Antonio Fraga Mouret', Departamento de Nefrología. Ciudad de México, México.
Jazyk: Spanish; Castilian
Zdroj: Revista medica del Instituto Mexicano del Seguro Social [Rev Med Inst Mex Seguro Soc] 2019 Dec 30; Vol. 57 (6), pp. 348-356. Date of Electronic Publication: 2019 Dec 30.
Abstrakt: Background: Kidney transplantation is the therapy of choice for patients with chronic renal failure. In Mexico, good short-term results have been reported for graft survival, which is why it was carried out a study in a third level center in Mexico City to broaden these results.
Objective: To identify long-term results of patient and graft survival.
Material and Methods: Retrospective study with first 1600 kidney transplants performed at the Hospital de Especialidades (Specialties Hospital) "Dr. Antonio Fraga Mouret" from La Raza National Medical Center. Patient and graft survival was analyzed at 1, 3, 5, 7 and 10 years. Kaplan Meier survival analysis and log rank test were performed.
Results: Between October 1979 and May 2015, 1600 kidney transplants were performed (1473 [92.1%] of living donor and 127 [7.9%] of deceased donor). Graft survival censored for death with functional graft at 1, 3, 5, 7 and 10 years was 95.4, 91.7, 88.2, 86.6 and 85.5%, respectively. Patient survival was 92.7, 90.4, 89.7, 89.4, and 88.9% at 1, 3, 5, 7 and 10 years, respectively.
Conclusions: Long-term patient and graft survival in our center is similar to that reported by other centers at an international level.
Databáze: MEDLINE