Short-Term Outcomes of 100 Consecutive Kidney Transplantations in a 3-Year Period: A Single-Center Experience
C I Alfaro Sanchez 1, M J Molina Higueras 2, J P Moiron Fernandez-Felechosa 2, J M Mora Gutierrez 2, P L Martin Moreno 2, N Garcia Fernandez 2, F J Lavilla Royo 2, P Errasti Goenaga 2
Background: The results of kidney transplantation have improved significantly in the last decade with patient and graft survival rates that range from 92% to 95%.
Methods: We analyzed the clinical results in the last 100 consecutive patients with a follow-up of 6-42 months at our institution. We also made a general evaluation of the patients before surgery as candidates for transplantation and divided them into 3 groups (good, moderate, and poor).
Results: We had 8 living donors and 92 cadaveric kidney transplantation cases. Principal cause of donor death was cerebrovascular disease accounting for 64%. Mean age of recipients was 55.1 ± 12.9 years with a total of 65 males. Currently there are 96 functioning allografts. During this 3-year period, 2 patients suffered graft loss and 2 patients died with a functioning allograft. We studied whether there were statistically significant differences in renal function (Modification of Diet in Renal Disease Study Equation [MDRD]) at 12 months and at last visit with respect to the evaluation of recipient as candidate for renal transplantation.
Conclusion: Our observations suggest great improvement of early results of renal transplantation in recent years, including complex cases. In this 3-year period we had a patient survival rate of 98% and a graft survival rate of 96% of cases. Further dedicated prospective studies that aim to evaluate or to propose possible recipient-related predictors for kidney transplantation outcomes in different populations are needed.
CITATION Transplant Proc. 2016 Nov;48(9):2906-2909. doi: 10.1016/j.transproceed.2016.09.017