2016, Number 2
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Rev Mex Traspl 2016; 5 (2)
Exposure to sensitization factors in wait-listed candidates and kidney transplant recipients: behavior during last decade
Guichard-Romero A, Marino-Vázquez LA, Castelán N, López M, González-Tableros N, Arvizu A, De Santiago A, Alberú J, Morales-Buenrostro LE
Language: Spanish
References: 30
Page: 50-56
PDF size: 240.41 Kb.
ABSTRACT
Introduction: Patients with greater exposure to sensitizing factors have a greater risk to develop HLA antibodies that would hinder their ability to have a compatible donor. It has been reported that over time such exposure to sensitizing factors has changed. The aim of this study was to determine the proportion of patients exposed to sensitizing factors, both of the waiting list for a deceased donor, and kidney transplant recipients, as well as the behavior of this exposure through the last decade.
Material and methods: An observational, cross-sectional, and descriptive study in patients undergoing kidney transplantation between January/2004 to December/2014, at the National Institute of Medical Sciences and Nutrition «Salvador Zubirán», and patients on the waiting list for a deceased donor on December 2014. The behavior of the proportion of patients with a history of sensitizing factors was analyzed.
Results: During the study period 516 kidney transplants were performed, 502 recipients and 51 patients from the waiting list were included. In the transplant population 67.1% had at least a factor of exposure and in patients of the waiting list 88.2%. The number of patients with transfusion before transplantation has remained around 60%.
Conclusion: The prevalence of exposure to sensitizing factors in our center remains high and in fact remains almost unchanged in the last decade.
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