Good outcome of kidney transplants in recipients of young donors: a NAPRTCS data analysis
| Autor: | Asha, Moudgil, Karen, Martz, Donald M, Stablein, Dechu P, Puliyanda |
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| Rok vydání: | 2011 |
| Předmět: |
Adult
Graft Rejection Male Adolescent Kaplan-Meier Estimate Kidney Function Tests Pediatrics Disease-Free Survival Statistics Nonparametric Young Adult Living Donors Humans Registries Child Retrospective Studies Postoperative Care Chi-Square Distribution Graft Survival Age Factors Middle Aged Kidney Transplantation Survival Analysis Tissue Donors United States Treatment Outcome Female Follow-Up Studies Glomerular Filtration Rate |
| Zdroj: | Pediatric transplantation. 15(2) |
| ISSN: | 1399-3046 1987-2003 |
| Popis: | NAPRTCS data were analyzed to assess outcome of TX recipients from YDs (5 yr) in comparison with IDs (6-35 yr) and ODs (36-55 yr). Of 9854 TX in NAPRTCS (1987-2003), 469 were YD. Patient survival (PS) and graft survival (GS) were compared between DD TX after 1995; 81YD, 1324 ID, and 429 OD and eGFR were compared among functioning grafts (YD 31, ID 439, OD 174) at three yr. PS was comparable in all groups; GS at one, two, and three yr in TX of YD (91.1%, 83.8%, 79.7%), ID (93.5%, 89.7%, 83.6%), and OD (92.2%, 87.2%, 82.4%) was comparable. The eGFR in YD was comparable to ID but better than OD (86.5 vs. 79.7 vs. 67.2 mL/min/1.73 m2, p 0.139 and0.0003). Primary graft non-function was more frequent in TX from YD than ID and OD (3.7% vs. 0.3 and 0.7%, p=0.004); the incidence of vascular thrombosis was similar. The aforementioned data show that pediatric recipients of YD had equivalent patient and graft survival. Although primary graft non-function was higher, eGFR of functioning grafts was comparable to ID. With further improvements in care, kidneys from YD may present a viable option for transplantation. |
| Databáze: | OpenAIRE |
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