Current outcome of prioritized patients for kidney transplantation
Int. braz. j. urol
;
38(3): 389-394, May-June 2012. graf, tab
Article
in English
| LILACS
| ID: lil-643038
ABSTRACT
PURPOSE:
To analyze the outcome of deceased donor recipients given priority in allocation due to lack of access for dialysis and compare this data to the one obtained from non-prioritized deceased donor kidney transplant recipients. MATERIALS ANDMETHODS:
we reviewed electronic charts of 31 patients submitted to kidney transplantation that were given priority in transplantation program due to lack of access for dialysis from January 2005 to December 2008. Immunological and surgical complications rates, and grafts and patients survival rates were analyzed. These data were compared to those obtained from 100 regular patients who underwent kidney transplantation without allocation priority during the same period.RESULTS:
Overall surgical complication rate was 25.8% and 27% in the patients with priority in allocation and in the non-prioritized patients, respectively. There was no statistical significant difference for surgical complications (p = 1.0), immunological complications (p = 0.21) and graft survival (p = 0.19) rates between the groups. However, patient survival rate was statistically significant worse in prioritized patients (p = 0.05).CONCLUSIONS:
patients given priority in allocation owing to lack of access for dialysis have higher mortality rate when compared to those non-prioritized.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Renal Dialysis
/
Kidney Transplantation
/
Patient Selection
/
Kidney Failure, Chronic
Limits:
Adolescent
/
Adult
/
Aged
/
Child
/
Female
/
Humans
Country/Region as subject:
South America
/
Brazil
Language:
English
Journal:
Int. braz. j. urol
Journal subject:
Urology
Year:
2012
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
University of Sao Paulo Medical School/BR
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