A single center experience in preemptive kidney transplantation

Transplantation Proceedings
A Debska-SlizieńB Rutkowski

Abstract

Transplantation is recognized as preemptive if it takes place before the initiation of chronic dialysis. This maneuver has the potential to avoid the morbidity and burden of chronic dialysis. From November 2003 to April 2005, 15 (7 male, 8 female) end-stage renal failure patients of mean age 40 +/- 14.8 years received preemptive grafts from 2 living-related and 13 cadaveric donors, constituting 11.5% of all kidney transplantations performed in our center at that time. The period on the waiting list for preemptive recipients, namely, 2 weeks to 6 months (mean, 2.4 months), was significantly shorter than that of other patients (mean, 13.8 months). The mean creatinine clearance calculated from the Cockroft Gault formula and the mean plasma creatinine level in preemptive recipients before transplantation were 12.7 +/- 3.1 mL/min and 6.6 +/- 0.8 mg/dL, respectively. The donors for preemptive and non-preemptive groups of recipients did not differ significantly in respect to age, gender, and renal function. The mean number of mismatches of 3.73 and 3.25 and the mean total ischemic times of 9.53 +/- 5 and 11.2 +/- 5 hours, in preemptive and non-preemptive groups of recipients, respectively. The incidence of delayed graft function (dial...Continue Reading

References

Nov 27, 1996·Transplantation·J A RoakeP J Morris
Mar 24, 1998·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·N IsmailR Hakim
May 18, 2000·JAMA : the Journal of the American Medical Association·B L KasiskeJ F Neylan
Jun 30, 2000·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·C RoubicekY Berland
Jan 29, 2002·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Fernando Valderrábano
Apr 19, 2002·Journal of the American Society of Nephrology : JASN·Bertram L KasiskeAnnamaria T Kausz

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Citations

Oct 15, 2011·Transplantation Proceedings·A ChamieniaG Moszkowska
Sep 22, 2009·Transplantation Proceedings·M HaberalG Arslan
Mar 15, 2015·Transplantation Proceedings·H SoyluN Seyahi
Nov 9, 2014·Transplantation Proceedings·A Dębska-ŚlizieńB Rutkowski
Feb 24, 2012·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·Marlies Ahlert, Hartmut Kliemt

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