Changes in renal transplantation: comparison between two different series.

Abstract:

BACKGROUND:New immunosuppressives have improved the results of renal transplants. However, the features of donors and recipients have changed, producing an increased age in both cases and more donors dying from strokes. We analyzed the impact of donor and recipient profile on survival of graft in recipients treated with new immunosuppressive agents. METHODS:Data from 343 patients receiving cadaveric renal transplants functioning for 1 year on February of 1987 and March of 2001 when cyclosporine was incorporated in the immunosuppressive regimen. Two series were distinguished from the point of view of immunosuppression: an historical series and a current series. Graft survival rates were analyzed using the actuarial method. Multivariate analysis was achieved with Cox proportional hazards model. RESULTS:Actuarial survival at 5 years was lower in the current series, 77%, as opposed to 82% in the historic series. Donor and recipient age, proteinuria, and losses in immediate postoperative period were significantly higher in the current series. However, acute rejection episode dropped from 54% to 21%. Delayed graft function also decreased from 18% to 10% in the current series. When multivariate analysis was performed of grafts functioning at 1 year, the relative risk was 3.12 in the historical series adjusted for other variables. CONCLUSION:The data suggested that new immunosuppressive regimens counteract suboptimal features for donors and recipients.

journal_name

Transplant Proc

authors

Marqués GG,Goenaga PE,Royo FJ,Fernández NG,Escolá JM,Unanua AP

doi

10.1016/j.transproceed.2005.09.099

subject

Has Abstract

pub_date

2005-11-01 00:00:00

pages

3698-700

issue

9

eissn

0041-1345

issn

1873-2623

pii

S0041-1345(05)01048-1

journal_volume

37

pub_type

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