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Kidney transplantation at the University of Miami.
Clin Transpl. 1999CT

Abstract

Of the 1,679 renal allografts performed at the University of Miami between January 1, 1979 and October 31, 1999, 1,154 were from cadaver donors (CAD), 515 were from living-related donors (LRD), and 10 were from living-unrelated donors. The 3 ethnic groups: Black Caribbean-African-American, Hispanic, and others were almost equally represented among recipients. Recipient ages ranged between 1-83 years. In the CAD group, HLA matching was emphasized so that no patient received a kidney with less than one DR match, and for the entire series a mean of 2.59 of 6 HLA antigens were matched between donors and recipients. Overall actuarial 20-year patient and graft survival rates were 65.3% and 30.7%, respectively, with 69.2% patient and 38.5% graft survival rates for LRD, and 65.6% patient and 29.0% graft survival rates for CAD recipients. Several factors adversely affected long-term graft outcome. African-Americans had an overall 20-year graft survival rate of 13.6% compared with 34% for non African-Americans (p < 0.001) (not dependent on patient survival). Diabetic patients had an overall 20-year graft survival rate of 13.5% versus 34.2% for non-diabetics (primarily dependent on patient survival). In the category of non African-American, non-diabetic patients under age 36 (n = 412), the 20-year patient survival rates in the LRD and CAD groups were 85.0% and 79.3%, respectively, and the graft survival rates were 55.7% and 46.5%, respectively. This differed markedly from the results for the entire series.

Authors+Show Affiliations

Department of Surgery, University of Miami School of Medicine, Florida, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

11038634

Citation

Ciancio, G, et al. "Kidney Transplantation at the University of Miami." Clinical Transplants, 1999, pp. 159-72.
Ciancio G, Contreras N, Esquenazi V, et al. Kidney transplantation at the University of Miami. Clin Transpl. 1999.
Ciancio, G., Contreras, N., Esquenazi, V., Gomez, C., Gharagozloo, H., Burke, G. W., Garcia-Morales, R., Olson, L., Rosen, A., Colona, J., Roth, D., Strauss, J., Ricordi, C., & Miller, J. (1999). Kidney transplantation at the University of Miami. Clinical Transplants, 159-72.
Ciancio G, et al. Kidney Transplantation at the University of Miami. Clin Transpl. 1999;159-72. PubMed PMID: 11038634.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Kidney transplantation at the University of Miami. AU - Ciancio,G, AU - Contreras,N, AU - Esquenazi,V, AU - Gomez,C, AU - Gharagozloo,H, AU - Burke,G W, AU - Garcia-Morales,R, AU - Olson,L, AU - Rosen,A, AU - Colona,J, AU - Roth,D, AU - Strauss,J, AU - Ricordi,C, AU - Miller,J, PY - 2000/10/20/pubmed PY - 2001/2/28/medline PY - 2000/10/20/entrez SP - 159 EP - 72 JF - Clinical transplants JO - Clin Transpl N2 - Of the 1,679 renal allografts performed at the University of Miami between January 1, 1979 and October 31, 1999, 1,154 were from cadaver donors (CAD), 515 were from living-related donors (LRD), and 10 were from living-unrelated donors. The 3 ethnic groups: Black Caribbean-African-American, Hispanic, and others were almost equally represented among recipients. Recipient ages ranged between 1-83 years. In the CAD group, HLA matching was emphasized so that no patient received a kidney with less than one DR match, and for the entire series a mean of 2.59 of 6 HLA antigens were matched between donors and recipients. Overall actuarial 20-year patient and graft survival rates were 65.3% and 30.7%, respectively, with 69.2% patient and 38.5% graft survival rates for LRD, and 65.6% patient and 29.0% graft survival rates for CAD recipients. Several factors adversely affected long-term graft outcome. African-Americans had an overall 20-year graft survival rate of 13.6% compared with 34% for non African-Americans (p < 0.001) (not dependent on patient survival). Diabetic patients had an overall 20-year graft survival rate of 13.5% versus 34.2% for non-diabetics (primarily dependent on patient survival). In the category of non African-American, non-diabetic patients under age 36 (n = 412), the 20-year patient survival rates in the LRD and CAD groups were 85.0% and 79.3%, respectively, and the graft survival rates were 55.7% and 46.5%, respectively. This differed markedly from the results for the entire series. SN - 0890-9016 UR - https://www.unboundmedicine.com/medline/citation/11038634/Kidney_transplantation_at_the_University_of_Miami_ L2 - http://www.diseaseinfosearch.org/result/7171 DB - PRIME DP - Unbound Medicine ER -