Patient and Graft Survival After Pre-emptive Versus Non-pre-emptive Kidney Transplantation: A Single-Center Experience From Turkey
TRANSPLANTATION PROCEEDINGS, vol.45, no.3, pp.932-934, 2013 (SCI-Expanded, Scopus)
- Publication Type: Article / Article
- Volume: 45 Issue: 3
- Publication Date: 2013
- Doi Number: 10.1016/j.transproceed.2013.02.064
- Journal Name: TRANSPLANTATION PROCEEDINGS
- Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Page Numbers: pp.932-934
- Akdeniz University Affiliated: Yes
Abstract
OBJECTIVE:
We sought to report the graft and patients survival of pre-emptive and non-pre-emptive kidney transplantations performed in our center.
METHODS:
The 859 subjects showed a mean age of 36.1 years and included 64.6%; males, who received grafts from living (n = 665) or deceased (n = 194) donors between January 2008 and June 2011. We reviewed their medical records retrospectively, to separately pre-emptive versus non-pre-emptive recipients for year transplant outcomes.
RESULTS:
Among the 859 patients, 153 (17.8%) underwent pre-emptive and 706 (82.2%), non-pre-emptive kidney transplantations. The rate of living donors was higher in the pre-emptive group (97.4% vs 73%, respectively). The 1-year graft survivals were 99.3% and 95.8% in pre-emptive and non-pre-emptive transplantation groups, respectively (P > .05). There was no significant difference between groups with respect to patient survival at 1 year (P > .05).
CONCLUSION:
In conclusion, graft and patient survival rates between pre-emptive and non-pre-emptive kidney transplantation cases were comparable at 1 year. Pre-emptive kidney transplantation, which eliminates hemodialysis costs and complications, should be preferred as the optimal renal replacement therapy for end-stage renal disease patients.