Assessment of Deceased Donor Kidneys Using a Donor Scoring System
Yonsei Medical Journal
; : 870-876, 2010.
Article
em En
| WPRIM
| ID: wpr-33817
Biblioteca responsável:
WPRO
ABSTRACT
PURPOSE:
Marginal grafts should be used more actively in Asian countries where deceased donor transplantation is unpopular. We modified a quantitative donor scoring system proposed by Nyberg and his colleagues and developed a donor scoring system in order to assess the quality of deceased donor grafts and their prognostic value as an initial effort to promote usage of marginal donors. MATERIALS ANDMETHODS:
We retrospectively evaluated 337 patients.RESULTS:
A scoring system was derived from six donor variables [age, 0-25; renal function, 0-4; history of hypertension, 0-4; Human Leukocyte Antigen (HLA) mismatch, 0-3; body weight, 0-1; cause of death, 0-3 points]. Donor grafts were stratified by scores grade A, 0-10; grade B, 11-20; grade C, 21-30; and grade D, 31-40 points. Donor grades significantly correlated with estimated glomerular filtration rate (eGFR) at 6 months (A, 64.0 mL/min/1.73 m2; B, 57.0 mL/min/1.73 m2; C, 46.8 mL/min/1.73 m2; p < 0.001). The five-year graft survival rate was also lower in grade C than grade A (74% vs. 93%, p = 0.002). Donors in grade C and D were regarded as marginal donors. The proportion of marginal donors was much lower in Korea, compared with data from the United Network for Organ Sharing (15.2% vs. 29%).CONCLUSION:
Considering the scarcity of deceased donor kidneys and the relatively better graft outcome with lower grade-donors in Korea, it is worth increasing the usage of marginal grafts.Palavras-chave
Texto completo:
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Base de dados:
WPRIM
Assunto principal:
Doadores de Tecidos
/
Cadáver
/
Estudos Retrospectivos
/
Transplante de Rim
/
Morte
/
República da Coreia
/
Taxa de Filtração Glomerular
/
Sobrevivência de Enxerto
/
Rim
Tipo de estudo:
Observational_studies
/
Prognostic_studies
Limite:
Adolescent
/
Adult
/
Female
/
Humans
/
Male
País como assunto:
Asia
Idioma:
En
Ano de publicação:
2010
Tipo de documento:
Article