Results of Kidney Transplants From Deceased Donors Discarded From Transplantation by a Regional Transplant Center but Accepted and Transplanted by Another Center.


Journal

Transplantation proceedings
ISSN: 1873-2623
Titre abrégé: Transplant Proc
Pays: United States
ID NLM: 0243532

Informations de publication

Date de publication:
Oct 2020
Historique:
received: 27 12 2019
accepted: 26 01 2020
pubmed: 8 5 2020
medline: 29 12 2020
entrez: 8 5 2020
Statut: ppublish

Résumé

Kidney allocation policy in Poland is strictly patient oriented. Kidneys are transplanted by the same center that made procurement. Sometimes kidneys are transferred for transplantation to another center due to medical or logistic reasons or according to allocation rules. The aim of the study was to compare early graft and recipient survival rates in cases of kidneys exported for transplantation to another center and in cases of kidneys transplanted typically. Data came from national transplant registry. Kidney transplants from the years 2008 to 2017 were divided into several groups. One-year graft and patient survival rates were calculated for each group, and statistical differences were cross-calculated between groups. Groups were compared by using the χ Early results of kidneys procured and transplanted by the same regional transplant center are significantly better than kidneys that have been transferred for transplantation to another center, but this result concerns only the subgroup of kidneys shifted due to logistic or allocation reasons. Early results of kidneys discarded by a regional team due to medical reasons and transplanted by another team are not different from results of transplantations performed by the same center that made the procurement.

Sections du résumé

BACKGROUND BACKGROUND
Kidney allocation policy in Poland is strictly patient oriented. Kidneys are transplanted by the same center that made procurement. Sometimes kidneys are transferred for transplantation to another center due to medical or logistic reasons or according to allocation rules.
AIM OBJECTIVE
The aim of the study was to compare early graft and recipient survival rates in cases of kidneys exported for transplantation to another center and in cases of kidneys transplanted typically.
METHODS METHODS
Data came from national transplant registry. Kidney transplants from the years 2008 to 2017 were divided into several groups. One-year graft and patient survival rates were calculated for each group, and statistical differences were cross-calculated between groups.
RESULTS RESULTS
Groups were compared by using the χ
CONCLUSION CONCLUSIONS
Early results of kidneys procured and transplanted by the same regional transplant center are significantly better than kidneys that have been transferred for transplantation to another center, but this result concerns only the subgroup of kidneys shifted due to logistic or allocation reasons. Early results of kidneys discarded by a regional team due to medical reasons and transplanted by another team are not different from results of transplantations performed by the same center that made the procurement.

Identifiants

pubmed: 32376048
pii: S0041-1345(19)31793-2
doi: 10.1016/j.transproceed.2020.01.113
pii:
doi:

Types de publication

Comparative Study Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

2315-2317

Informations de copyright

Copyright © 2020 Elsevier Inc. All rights reserved.

Auteurs

Anna Pszenny (A)

Polish Transplant Coordinating Center POLTRANSPLANT, Warsaw, Poland. Electronic address: apszenny@poltransplant.pl.

Aurora Navarro (A)

Donation and Transplantation Institute, Barcelona, Spain.

Piotr Malanowski (P)

Polish Transplant Coordinating Center POLTRANSPLANT, Warsaw, Poland.

Artur Kamiński (A)

Polish Transplant Coordinating Center POLTRANSPLANT, Warsaw, Poland; National Center of Tissue and Cell Banking in Poland, Warsaw, Poland.

Jarosław Czerwiński (J)

Polish Transplant Coordinating Center POLTRANSPLANT, Warsaw, Poland; Department of Emergency Medicine, Medical University of Warsaw, Warsaw, Poland.

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Classifications MeSH