scholarly journals An increase in kidney transplantation procedures from deceased donors during the COVID‐19 epidemic in Slovenia

2020 ◽  
Vol 33 (11) ◽  
pp. 1562-1564
Author(s):  
Miha Arnol ◽  
Tomaž Smrkolj ◽  
Danica Avsec ◽  
Andrej Gadžijev ◽  
Ivan Kneževič
Author(s):  
Laura Jahn ◽  
Christiane Rüster ◽  
Mandy Schlosser ◽  
Yvonne Winkler ◽  
Susan Foller ◽  
...  

2020 ◽  
Vol 35 (4) ◽  
pp. 687-696
Author(s):  
Jimena Cabrera ◽  
Mario Fernández-Ruiz ◽  
Hernando Trujillo ◽  
Esther González ◽  
María Molina ◽  
...  

Abstract Background Advances in life expectancy have led to an increase in the number of elderly people with end-stage renal disease (ESRD). Scarce information is available on the outcomes of kidney transplantation (KT) in extremely elderly patients based on an allocation policy prioritizing donor–recipient age matching. Methods We included recipients ≥75 years that underwent KT from similarly aged deceased donors at our institution between 2002 and 2015. Determinants of death-censored graft and patient survival were assessed by Cox regression. Results We included 138 recipients with a median follow-up of 38.8 months. Median (interquartile range) age of recipients and donors was 77.5 (76.3–79.7) and 77.0 years (74.7–79.0), with 22.5% of donors ≥80 years. Primary graft non-function occurred in 8.0% (11/138) of patients. Cumulative incidence rates for post-transplant infection and biopsy-proven acute rejection (BPAR) were 70.3% (97/138) and 15.2% (21/138), respectively. One- and 5-year patient survival were 82.1 and 60.1%, respectively, whereas the corresponding rates for death-censored graft survival were 95.6 and 93.1%. Infection was the leading cause of death (46.0% of fatal cases). The occurrence of BPAR was associated with lower 1-year patient survival [hazard ratio (HR) = 4.21, 95% confidence interval (CI) 1.64–10.82; P = 0.003]. Diabetic nephropathy was the only factor predicting 5-year death-censored graft survival (HR = 4.82, 95% CI 1.08–21.56; P = 0.040). Conclusions ESRD patients ≥75 years can access KT and remain dialysis free for their remaining lifespan by using grafts from extremely aged deceased donors, yielding encouraging results in terms of recipient and graft survival.


2011 ◽  
Vol 27 (1) ◽  
pp. 30 ◽  
Author(s):  
Pranjal Modi ◽  
Jamal Rizvi ◽  
Bipinchandra Pal ◽  
Hargovind Trivedi ◽  
Veena Shah ◽  
...  

2012 ◽  
Vol 94 (10S) ◽  
pp. 823
Author(s):  
P. Warnick ◽  
W. Faber ◽  
A. Pascher ◽  
M. Bahra ◽  
J. Hörstrup ◽  
...  

2019 ◽  
Vol 51 (8) ◽  
pp. 2575-2581 ◽  
Author(s):  
Jin Ah Kwon ◽  
Hojong Park ◽  
Sang Jun Park ◽  
Hong Rae Cho ◽  
Minsu Noh ◽  
...  

2018 ◽  
Vol 102 ◽  
pp. S338
Author(s):  
Maria Jose Perez Saez ◽  
Emma Arcos ◽  
Jordi Comas ◽  
Julio Pascual

2019 ◽  
Vol 18 (9) ◽  
pp. e3255
Author(s):  
R. Campi ◽  
G. Vignolini ◽  
F. Sessa ◽  
I. Greco ◽  
C. Olivieri ◽  
...  

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