Outcome of kidney transplant in primary, repeat, and kidney-after-nonrenal solid-organ transplantation: 15-year analysis of recent UNOS database

Autor:	B. Sawaya, Navin Rajagopalan, Roberto Gedaly, Amr El-Husseini, Maher A. Baz, Daniel L. Davenport, Xiaonan Mei, J. Ramirez, A. Aghil
Rok vydání:	2017
Předmět:	United Network for Organ Sharing Nephrology Adult Graft Rejection Male medicine.medical_specialty Time Factors Databases Factual 030232 urology & nephrology 030230 surgery Kidney Function Tests Group B Organ transplantation 03 medical and health sciences 0302 clinical medicine Postoperative Complications Risk Factors Internal medicine medicine Humans Registries Kidney transplantation Transplantation Kidney Lung business.industry Graft Survival Organ Transplantation Middle Aged medicine.disease Prognosis Kidney Transplantation Surgery Survival Rate surgical procedures operative medicine.anatomical_structure Kidney Failure Chronic Female Solid organ business Follow-Up Studies Glomerular Filtration Rate
Zdroj:	Clinical transplantation. 31(11)
ISSN:	1399-0012
Popis:	The number of nonrenal solid organ transplants increased substantially in the last few decades. Many of these patients develop renal failure and receive kidney transplantation. The aim of this study is to evaluate patient and kidney allograft survival in primary, repeat, and kidney after nonrenal organ transplantation using national data reported to United Network for Organ Sharing (UNOS) from January 2000 through December 2014. Survival time for each patient was stratified into the following: Group A (comparison group) – recipients of primary kidney transplant (178,947 patients), Group B – recipients of repeat kidney transplant (17,819 patients), and Group C – recipients of kidney transplant performed after either a liver, heart, or lung transplant (2,365 patients). We compared survivals using log-rank test. Compared to primary or repeat kidney transplant, patient and renal allograft survival was significantly lower in those with previous nonrenal organ transplant. Renal allograft and patient survival after liver, heart, or lung transplants are comparable. Death was the main cause of graft loss in patients who had prior nonrenal organ transplant. This article is protected by copyright. All rights reserved.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::9b35d8c9576679d8302b27c031f0d4ec https://pubmed.ncbi.nlm.nih.gov/28881060 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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