A leap toward brighter future – deceased-donor renal transplantation: Three years of experience in Sawai Man Singh Hospital, Jaipur, India
| Autor: | Dhananjai Agarwal, Pankaj Beniwal, Nisha Gaur, Sanjeev Sharma, Rajesh Jhorawat, Shailendra Kumar, H.C. Joshi, N Raveendran, Vinay Malhotra, Vinay Rathore |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Transplantation
Deceased donor Creatinine medicine.medical_specialty business.industry medicine.medical_treatment graft survival lcsh:Surgery Disease lcsh:RD1-811 medicine.disease Sepsis chemistry.chemical_compound delayed graft function chemistry Internal medicine renal transplant Medicine deceased donor Renal replacement therapy Cadaveric transplant business Complication Kidney disease |
| Zdroj: | Indian Journal of Transplantation, Vol 13, Iss 1, Pp 25-30 (2019) |
| ISSN: | 2212-0025 2212-0017 |
| Popis: | Background: With an increase in the prevalence of risk factors for chronic kidney disease, the prevalence of end-stage renal disease (ESRD) is increasing in India, adding 1.75 lakh ESRD patients each year. Renal transplant is one of the best modalities of renal replacement therapy; however, it is available only in a few centers. Despite an increase in trend, deceased-donor renal transplant (DDRT) rate is only 0.34/million populations, one of the lowest rates in the world. Materials and Methods: We analyzed 25 DDRT recipients transplanted in the last 3 years. The patients were followed till death or graft loss whichever was earlier. Posttransplant outcome and complications were evaluated. Results: The patient survival was 84% (21/25), and death-censored graft survival was 84% (21/25). 16% (4/25) had the second renal transplant with a history of failed previous live renal transplant. Delayed graft function (DGF) and biopsy-proven acute rejection were seen in 16% and 12%, respectively. The mean posttransplant creatinine in recipients with functioning graft on the last follow-up was 1.14 ± 0.2 mg/dl. The most common medical complication was sepsis (40%, 10/25). Conclusion: The short-term outcome of DDRT in our center is comparable to other centers in India. DGF was the most important determinant of graft survival. |
| Databáze: | OpenAIRE |
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