Influence of Pretransplant Dialysis Vintage on Repeated Kidney Transplantation Outcomes
| Autor: | I. Puide, V. Suhorukovs, A. Malcevs, I. Ziedina, J. Jusinskis, K. Gritane, D. Amerika |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male Vintage medicine.medical_specialty Time Factors medicine.medical_treatment 030232 urology & nephrology 030230 surgery 03 medical and health sciences 0302 clinical medicine Renal Dialysis medicine Humans Survival rate Dialysis Kidney transplantation Aged Retrospective Studies Transplantation Kidney business.industry Graft Survival Retrospective cohort study Middle Aged medicine.disease Kidney Transplantation Surgery Survival Rate Treatment Outcome surgical procedures operative medicine.anatomical_structure Female Graft survival business |
| Zdroj: | Transplantation Proceedings. 50:1249-1257 |
| ISSN: | 0041-1345 |
| Popis: | Dialysis has a dose-dependent effect on first kidney transplantation outcomes, and a shorter waiting time on dialysis is associated with superior graft function. There are not enough data to support this statement in the case of a repeated transplantation. As such, we aimed to evaluate the influence of the dialysis vintage before the last transplantation on graft function as well as patient and graft survival in repeated transplantation situations. Patients who underwent repeated kidney transplantations were included in the retrospective study. Specifically, 79 patients were included who were divided into 4 groups according to the dialysis vintage before the last transplantation. We assessed graft function and patient and graft survival rates after 1- and 3-year follow-up. One-year graft function was worse for patients with a dialysis vintage of more than 31 months (P = .005), but there was no difference after 3 years. One- and 3-year graft survival was better for patients with a dialysis vintage of less than 12 months (P = .017). We concluded that a longer waiting time on dialysis was associated with worse graft function and diminished long-term graft survival after repeated kidney transplantation. |
| Databáze: | OpenAIRE |
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