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Single kidney transplantation from young pediatric donors in the United States.
Kayler, L K; Magliocca, J; Kim, R D; Howard, R; Schold, J D.
Afiliação
  • Kayler LK; Shands Hospital at the University of Florida Gainesville, FL, USA. liisekayler@yahoo.com
Am J Transplant ; 9(12): 2745-51, 2009 Dec.
Article em En | MEDLINE | ID: mdl-20021480
ABSTRACT
Kidney transplantation (KTX) from small pediatric donors is performed as single or en bloc. Criteria to determine when to split pediatric donor kidneys and transplant as singles are not well established. Data reported to the Scientific Registry of Transplant Recipient for donors <10 yrs from 1995 to 2007 were reviewed (n = 5079). Donors were categorized by weight group by 5 kg increments and solitary (n = 3503) versus en bloc (n = 1576). The primary outcome was overall graft survival. Results were compared as adjusted hazard ratios (aHR) relative to ideal standard criteria donors (SCDs) (defined as age 18-39 without other risk factors), non-ideal SCDs (all other SCDs) and expanded criteria donors (age 50-59 with other risk factors or age >or=60). Single KTX from donors >or= 35 kg conferred a similar risk of graft survival as ideal SCDs. Of donors 10-34 kg, risks of en bloc KTX were similar to ideal and risks of single KTX to non-ideal SCDs; single and en bloc KTXs had 7.9 and 5.2 graft losses per 100 follow-up years, respectively. Single KTX from donors >35 kg are similar to ideal SCDs. Single KTX from donors 10-35 kg are similar to non-ideal SCDs. From a resource perspective, pediatric donors 10-35 kg used as singles offer more cumulative graft years than when used en bloc.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Doadores de Tecidos / Peso Corporal / Transplante de Rim Tipo de estudo: Prognostic_studies / Risk_factors_studies Limite: Adult / Child / Child, preschool / Female / Humans / Infant / Male / Middle aged País/Região como assunto: America do norte Idioma: En Revista: Am J Transplant Assunto da revista: TRANSPLANTE Ano de publicação: 2009 Tipo de documento: Article País de afiliação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Doadores de Tecidos / Peso Corporal / Transplante de Rim Tipo de estudo: Prognostic_studies / Risk_factors_studies Limite: Adult / Child / Child, preschool / Female / Humans / Infant / Male / Middle aged País/Região como assunto: America do norte Idioma: En Revista: Am J Transplant Assunto da revista: TRANSPLANTE Ano de publicação: 2009 Tipo de documento: Article País de afiliação: Estados Unidos