NDLI: Revisiting double kidney transplantation: two kidneys provide better graft survival than one.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Cruzado, J. M. Fernandez, L. Riera, L. Bestard, O. Carrera, M. Torras, J. Gil Vernet, S. Melilli, E. Ngango, L. Grinyó, J. M.
Spatial Coverage	Spain
Description	Country affiliation: Spain Author Affiliation: Cruzado JM ( Department of Nephrology, Hospital Universitari de Bellvitge, IDIBELL, Universitat de Barcelona, Barcelona, Spain. jmcruzado@bellvitgehospital.cat)
Abstract	Double kidney transplantation is an accepted strategy to increase the donor pool. Regarding older donor kidneys, protocols for deciding to perform a dual or a single transplantation are mainly based on preimplantation biopsies. The aim of our study was to evaluate the long-term graft and patient survivals of our 'Dual Kidney Transplant program.' Patients who lost one of their grafts peritransplantation were used as controls. A total of 203 patients underwent kidney transplantation from December 1996 to January 2008 in our 'old for old' renal transplantation program. We excluded 21 patients because of a nonfunctioning kidney, hyperacute rejection, or patient death with a functioning graft within the first month. Seventy-nine among 182 kidney transplantation the 'old for old' program were dual kidney transplantation (DKT). Fifteen of 79 patients lost one of their kidney grafts (the uninephrectomized (UNX) UNX group). At 1 year, renal function was lower and proteinuria greater among the UNX than the DKT group. Patient survival was similar in both groups. However, death-censored graft survival was lower in UNX than DKT patients. The 5-year graft survival rate was 70% in UNX versus 93% in DKT cohorts (P = .04). In conclusion, taking into account the kidney shortage, our results may question whether the excellent transplant outcomes with DKT counter balance the reduced donor pool obviating acceptable transplant outcomes for more patients with single kidney transplantation.
File Format	HTM / HTML
ISSN	00411345
Issue Number	6
Volume Number	43
e-ISSN	18732623
Journal	Transplantation Proceedings
Language	English
Publisher	Elsevier
Publisher Date	2011-07-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Transplantation__semicolon__medicine Graft Survival Kidney Transplantation Tissue Donors Supply & Distribution Aged Analysis Of Variance Chi-square Distribution Female Humans Kaplan-meier Estimate Adverse Effects Mortality Male Middle Aged Proteinuria Etiology Risk Assessment Risk Factors Spain Survival Rate Time Factors Treatment Outcome Journal Article
Content Type	Text
Resource Type	Article
Subject	Transplantation Surgery

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

Kidneys from older living donors provide excellent intermediate-term outcomes after transplantation.

Donor-specific HLA antibodies: risk factors and outcomes after kidney transplantation.

Correlation between dual kidney biopsy in expanded-criteria donors and transplant survival.

Is it safe to use a kidney from an expanded criteria donor?

Advantages of kidney transplant precocity in graft long-term survival.

Kidney transplantation using donors over 70 years old: are the criteria for organ allocation too expanded?

Transplantation with kidneys retrieved from deceased donors with acute renal failure.

Long-term survival of simultaneous pancreas-kidney transplantation: influence of early posttransplantation complications.

Is it appropriate to implant kidneys from elderly donors in young recipients?

Revisiting double kidney transplantation: two kidneys provide better graft survival than one.

Similar Documents

Kidneys from older living donors provide excellent intermediate-term outcomes after transplantation.

Donor-specific HLA antibodies: risk factors and outcomes after kidney transplantation.

Correlation between dual kidney biopsy in expanded-criteria donors and transplant survival.

Is it safe to use a kidney from an expanded criteria donor?

Advantages of kidney transplant precocity in graft long-term survival.

Kidney transplantation using donors over 70 years old: are the criteria for organ allocation too expanded?

Transplantation with kidneys retrieved from deceased donors with acute renal failure.

Long-term survival of simultaneous pancreas-kidney transplantation: influence of early posttransplantation complications.

Is it appropriate to implant kidneys from elderly donors in young recipients?

Revisiting double kidney transplantation: two kidneys provide better graft survival than one.