Clinical analysis and outcome of 524 cases of kidney transplantation
10.3760/cma.j.issn.0254-1785.2018.08.005
- VernacularTitle:临床肾移植524例的疗效分析
- Author:
Jun LIAO
1
;
Qian FU
;
Ronghai DENG
;
Xiaopeng YUAN
;
Jun LI
;
Longshan LIU
;
Chenglin WU
;
Yitao ZHENG
;
Huanxi ZHANG
;
Suxiong DENG
;
Jiguang FEI
;
Jiang QIU
;
Guodong CHEN
;
Gang HUANG
;
Lizhong CHEN
;
Changxi WANG
Author Information
1. 中山大学附属第一医院器官移植中心
- Keywords:
Organ donation;
Kidney transplantation;
Clinical outcome
- From:
Chinese Journal of Organ Transplantation
2018;39(8):470-474
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical outcome of renal transplantation and analyze the risk factors influencing the kidney allograft survival after transplantation.Methods The clinical data of 524 cases of renal transplantation between January 2007 and December 2015 were retrospectively analyzed.Serum creatinine was determined,and glomerular filtration rate(GFR) was estimated.The 1-,2-and 3-year patient and graft survival after transplantation was calculated.Adverse events were recorded.Results The median follow-up time was 17.2 months.The 1-,2-and 3-year graft survival rate after transplantation was 97％,95.8％ and 95.3％,respectively.The 1-,2-and 3-year patient survival rate after transplantation was 97.8％,97％ and 97％,respectively.The eGFR was (67.6 ± 24.1),(68.9±24.2) and (72.7 ± 26.2) ml·min-1 ·1.73 m-2 at 1st,2nd and 3rd year after transplantation.The incidence of delayed graft function(DGF) was 20.6％ (108/524).Multivariate analysis revealed donor type (P =0.005) and the terminal creatinine (P＜0.001) were the independent risk factors of DGF.Elder recipients (P =0.004),recipients with diabetes(P =0.031),preoperative positivity of panel reactive antibody(PRA) (P =0.023),and donor with hypertension (P =0.046) were risk factors influencing the kidney allograft survival.Conclusion Kidney transplantation showed good outcomes at 3rd year after transplantation.The recipient age,recipient's history of diabetes,preoperative PRA and donor's history of hypertension are independent risk factors for renal graft survival.
