The great success of Asian kidney transplant recipients

Transplantation
S Katznelson, J Michael Cecka

Abstract

Little has been written about allograft survival in non-African-American minority groups. We examine the success of kidney transplantation in 1900 Asian recipients. Data from 42,252 cadaveric and 16,115 live donor kidney transplant recipients were monitored from the United Network for Organ Sharing Scientific Renal Transplant Registry from 1991 through 1996. Asian recipients exhibited the highest cadaveric allograft survival rates (89% 1-year and 83% 3-year survival) and the longest mean allograft half-life (18 years). Asian women had the highest mean graft half-life (23 years). Asians were less likely to be broadly sensitized and had a high incidence of IgA nephropathy causing end-stage renal disease. Although it has been suggested that their low body weights may help explain the excellent allograft outcome, Asians exhibited superior graft survival rates even when compared with low body weight recipients of other races. Asian renal allograft recipients, particularly Asian females, have the highest allograft survival rates of all racial groups.

References

Jan 31, 1991·The New England Journal of Medicine·B L KasiskeM G White

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Citations

Feb 24, 2001·Transplantation·M ThamerUNKNOWN CHOICE Study. Choices for Healthy Outcomes in Caring for ESRD
Oct 14, 2005·Kidney International·Yoshio N HallAlan S Go
Sep 3, 2004·BMC Nephrology·Yoshio N HallJean L Olson
Jun 18, 2004·Journal of Health & Social Policy·Roger Bennett, Sharmila Savani
May 14, 2011·Clinical Journal of the American Society of Nephrology : CJASN·Pavani Naini ReddySuphamai Bunnapradist
Oct 29, 2003·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Gabriel M Danovitch, J Michael Cecka
Jul 18, 2002·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·Steven C HoffmannPatrick J Blair
Jun 8, 2007·Kidney International·M TonelliUNKNOWN Alberta Kidney Disease Network
Mar 17, 2006·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·M D DooldeniyaA N Warrens
Oct 21, 2005·Journal of the American Society of Nephrology : JASN·Yoshio N HallGlenn M Chertow

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