Long term morbidity and mortality after kidney transplantation.

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.

[Health and military service. The loss of conscripts because of various medical grounds]. / Helse og militaer tjenestedyktighet. Frafallet av stridende i ulike årsklasser av vernepliktige.

250 conscripts who met for basic training in 1976 were followed to 1984. All the 250 conscripts were among those found fit for active service (fit for combat) at the first medical examination in 1975. In 1984 only 50% of the 250 were still considered fit for active service. During the period of 12 months' basic training and the seven years that followed a considerable reduction of the number of fit for active service had taken place on medical grounds. Based on these findings we estimate the expected reduction of conscripts fit for active service in future cohorts. The reduction on medical grounds, combined with the effect of declining birth rates, leads to a marked decrease in the number of fit conscripts who have completed basic training. The number of fit conscripts will probably be smaller than estimated need of the Services for fit men.