Predictive Factors of Renal Graft Failure in Tunisian Children and young adults: A Retrospective Study.
Tunis Med
; 102(1): 38-43, 2024 Jan 05.
Article
em En
| MEDLINE
| ID: mdl-38545728
ABSTRACT
INTRODUCTION:
Pediatric end-stage renal disease is a rare but severe condition that causes numerous complications and impairs the quality of life of children. Kidney transplantation is the therapy of choice in pediatric end-stage renal disease.AIM:
Our study aimed to identify the predictive factors of renal graft failure after kidney transplantation in Tunisian children and young adults.METHODS:
We conducted a retrospective bicentric study of children and young adults (age≤20 years) who had undergone renal transplantation between 1989 and 2019 in Tunisia. We analyzed long-term survival rates and complications after pediatric kidney transplantation and searched for predictive parameters for graft dysfunction. We used a univariate and a multivariate analysis to identify predictive factors of graft survival.RESULTS:
A total of 112 patients underwent 115 kidney transplantations. Graft failure occurred in 30% of the cases. The overall 1-, 3-, 5- and 10-year graft survival rates were 92%, 89.1%, 85.9% and 74.5% respectively. The following parameters strongly influenced graft survival immunosuppressive regimen including an association other than Mycophenolate mofetil- tacrolimus and corticosteroids (p=0.002), year of transplant (p<0.0001 for 1987-2000), deceased donor (p = 0.039), underlying etiology of end-stage renal disease (p=0.045), occurrence of acute or chronic rejection (p<0.001), a urine protein greater than 0.3 g/l per day (p=0.002), post-transplant urologic complications (p=0.002), five-year creatinine level>1.28 mg/dl (p<0.001). The overall 1-, 3-, 5- and 10-year patients survival rates were 97%, 95%, 90.2% and 84.4% respectively.CONCLUSIONS:
Our study identified several predictive factors of graft failure in Tunisian children and young adults undergoing renal transplantation.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Nefropatias
/
Falência Renal Crônica
Limite:
Adult
/
Child
/
Humans
Idioma:
En
Revista:
Tunis Med
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
Tunísia