Ticona-Garrón AB, Álvarez-Rangel LE, Jiménez-Domínguez A, Cruz-Santiago J, Medina-Uicab C, Meza-Jiménez G, Martínez-Romo ME, Arancibia-Bolaños FJ

Language: Spanish
References: 13
Page: 347-353
PDF size: 1233.99 Kb.

ABSTRACT

Introduction: In deceased-donor kidney transplantation, patient and kidney graft survival at one, five, and ten years is inferior to that of live-donor transplantation. The objective of the present study was to determine patient and graft survival results in deceased-donor kidney transplantation and compare them with results from live-donor kidney transplantation at the authors’ medical center.
Methods: A retrospective study was carried out on deceased-donor kidney transplantation recipients at the Hospital de Especialidades “Dr Antonio Fraga Mouret” of the Centro Médico Nacional La Raza. Live-donor kidney transplantation recipients from the same time period were used as the control group. Graft and patient survival were analyzed in recipients of deceased-donor kidney transplantation at twelve months using Kaplan-Meier actuarial survival curves. Results were compared with those obtained from live-donor transplantation recipients.
Results: The study included four hundred and fifty-two kidney transplantations (thirty-one from deceased donors and four hundred and twenty-one from live donors). Graft survival was 83.9% in the deceased-donor group and 94.3% in the live-donor group at twelve months after transplantation and patient survival was 90.3% in the deceased- donor group and 96.9% in the live-donor group.
Conclusions: Patient and kidney graft survival at twelve months after deceased-donor kidney transplantation was significantly lower than patient and graft survival in livedonor transplantation. These results are similar to those reported in other transplantation centers worldwide.

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