Kidney retransplantation in comparison with first kidney transplantation.
Transplant Proc
; 37(7): 2962-4, 2005 Sep.
Article
em En
| MEDLINE
| ID: mdl-16213274
ABSTRACT
INTRODUCTION:
The aim of this study was to depict the outcome of second and third kidney allografts in comparison with first kidney allografts.METHODS:
Among 2150 kidney transplantations are 103 second and 5 third transplantations. Demographic characteristics and survivals of retransplanted patients were compared with a randomly selected group of first kidney recipients, consisting of two cases matched with each retransplanted patient for age, gender, and date of transplantation.RESULTS:
Retransplanted patients consisted of 78 men and 30 women of mean age 32.63 +/- 11.92 years. They had received kidneys from 91 living-unrelated and 17 living-related donors. Median followup was 27 months. One-, 2-, 3-, and 5-year graft survivals were 81.4%, 78.9%, 78.9%, and 73.7% among retransplants, versus 92.9%, 91.5%, 89.8%, and 85.3% in the control group, respectively (P = .0037). Patient survival was 96%, 94.6%, 92.4%, and 87.8% in the retransplant group versus 93.1%, 92.4%, 90.9%, 87.4% in the control group, respectively (P = .63). Also, graft survivals were slightly lower in female compared to male retransplant patients (P = .09). No significant difference in survival rates was seen in different age groups.CONCLUSION:
It seems that kidney retransplantation can yield desirable outcomes, albeit relatively lower graft survivals.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Reoperação
/
Transplante de Rim
Tipo de estudo:
Observational_studies
/
Prognostic_studies
Limite:
Adult
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
Transplant Proc
Ano de publicação:
2005
Tipo de documento:
Article
País de afiliação:
Irã