RESUMO
Out of 69 patients who were kidney transplanted from 1963 to 1978, 33 patients were alive with a functioning graft in 1988. Of these, 94% completed a questionnaire for the assessment of the quality of life. The total life situation was considered very good by 16%, good by 48%, medium by 29% and difficult by 6%. Nine patients (eight males) had a total of 16 children after the transplantation. There were 72% who were working full-time and the family income was acceptable for most of the patients. No patients had major psychological problems. Our conclusion is that this group of transplanted patients almost all reported a good quality of life and were almost fully rehabilitated in the second and third decade after their transplantation.
Assuntos
Falência Renal Crônica/cirurgia , Transplante de Rim/psicologia , Complicações Pós-Operatórias/psicologia , Qualidade de Vida , Adaptação Psicológica , Adulto , Idoso , Avaliação da Deficiência , Feminino , Seguimentos , Humanos , Falência Renal Crônica/psicologia , Masculino , Pessoa de Meia-Idade , Papel do DoenteRESUMO
A cohort of 69 patients received a kidney transplant in the period 1963-1977. The mean observation time was 9.5 years. Accumulated follow-up time was 661.4 patients year. The mean (SE) 10-year survival was 55(5.9)%. Univariate analysis showed that female patients had poorer survival than male. Patients with a cadaveric donor had lower survival than those with a living donor. Also survival with different HLA-A,B match differed significantly. A multivariate analysis pinpointed nature of donor, cadaveric vs. living, as the sole independent predictor of mortality. Patients receiving a cadaveric kidney were on double (2.2) relative risk of mortality as compared to patients with a living donor. The major causes of death were infections during rejection treatment, and cardiovascular disease. Patients had low rates of morbidity. Our results showed satisfactory outcome of kidney transplantation.
Assuntos
Causas de Morte , Falência Renal Crônica/cirurgia , Transplante de Rim/mortalidade , Complicações Pós-Operatórias/mortalidade , Adolescente , Adulto , Idoso , Cadáver , Feminino , Seguimentos , Humanos , Falência Renal Crônica/mortalidade , Masculino , Pessoa de Meia-Idade , Modelos de Riscos Proporcionais , Reoperação , Fatores de Risco , Taxa de SobrevidaRESUMO
In 1984 a Committee on Drugs was established in the primary health care district of Furuset. The committee members represented pharmacists at the local pharmacy, nurses and general practitioners in this sector. The committee has arranged 1-3 meetings yearly for all primary health care personnel at Furuset. A well-prepared topic was discussed at each meeting. Additional joint meetings have taken place regularly between physicians, pharmacists and representatives of the pharmaceutical industry. Simple equipment has been developed for communication between general practitioners and the pharmacy. Inquiries have been carried out on prescription practices and drug use.
