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Volume: 6 Issue: 4 November 2008 - Supplement - 1

FULL TEXT

OUTCOME OF KIDNEY TRANSPLANT FROM CADAVERIC DONOR WITH ELEVATED SERUM CREATININE

The increasing need for kidney transplant has led to long waiting lists and forced authorities to step beyond their standard criteria for acceptable kidneys from cadaveric donors. But the question remains about the benefit of these outbound kidneys. We conducted a retrospective analysis of all kidney transplants performed at Emam Reza Hospital of Mashhad, Iran, during January 2002 to April 2008 from cadaveric donors. A total of 194 kidney transplants met the criteria of which 137 had donors with creatinine less than 1.5mg/dl and 57 had creatinine greater than or equal to 1.5mg/dl. Then required information was collected from transplant clinic to which all patients had regular visits. Average follow up time was 33 month (maximum of 78). According to Kaplan-Meier survival analysis the mean graft survival for those with normal creatinine was 65 (60-69) month and for those with creatinine greater than or equal to 1.5mg/dl was 60 (52-69) month. But the difference was not statistically significant. Although graft survival was 5 month less in kidney recipients from cadaveric donor with creatinine above 1.5 but the difference was not statistically significant. Even if significant, due to organ shortage crisis this would not be an appropriate exclusion criterion instead a good factor to justify the recipients.



Volume : 6
Issue : 4
Pages : 58


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1Department of Urology, Faculty of Medicine ,
2Transplant Management Center,
3Transplant Department, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran