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Transplant Proc ; 42(2): 547-51, 2010 Mar.
Article in English | MEDLINE | ID: mdl-20304189

ABSTRACT

UNLABELLED: To evaluate the risk factors for pancreas graft loss within 3 months postoperatively among 170 simultaneous pancreas-kidney transplantation (SPKT) we examined 38 variables. METHODS: Twenty-two variables were related to recipients; 12 to donors and 4 to the surgical procedure. In addition the latest follow-up dates as well as the transplant and/or death dates. Independent variables were examined with reference to the dependent pancreatic loss variable, excluding losses owing to deaths. Variables with statistical significance were analyzed to predict early graft loss. RESULTS: Univariate analyses determined the following significant variables: kidney cold ischemia time, older donors, non-white donors, death cause related to vascular disease, wound infection, and length of extended hospitalization. However, multivariate analysis showed that only donor age and kidney cold ischemia time were significant predictors for early pancreatic graft loss. CONCLUSION: Donor age and kidney cold ischemia time were independently related to pancreatic loss after SPKT within 3 months posttransplantation.


Subject(s)
Kidney Transplantation/physiology , Pancreas Transplantation/adverse effects , Adolescent , Adult , Age Factors , Amylases/metabolism , Analysis of Variance , Body Mass Index , Cause of Death , Creatinine/metabolism , Diabetes Mellitus, Type 1/complications , Diabetes Mellitus, Type 1/surgery , Diabetic Nephropathies/surgery , Ethnicity , Female , Humans , Male , Middle Aged , Multivariate Analysis , Retrospective Studies , Risk Factors , Sodium/blood , Surgical Wound Infection/mortality , Tissue Donors/statistics & numerical data , Treatment Outcome , Vascular Diseases/mortality
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