Surgery pp 1759-1772 | Cite as

Kidney Transplantation

  • Stuart J. Knechtle


In 2002 in the United States, 431,281 patients received treatment for end-stage renal disease (ESRD), including 308,910 on dialysis and 122,374 with a functioning renal transplant.1 The prevalence of ESRD is increasing at an annual rate of 4%, down from 9% a decade ago. In 2004, there were 15,977 renal transplants performed in the United States, and two-thirds of renal transplant patients are now alive 5 years after transplantation, compared to one-third on either hemodialysis or peritoneal dialysis. The 1-year mortality of renal transplant patients is 6% for deceased donor recipients and 3% for living donor kidney recipients compared to 25% for patients treated with dialysis, reflecting the fact that transplant recipients represent a relatively healthier subset of patients with ESRD compared to dialysis patients.2 Nevertheless, the death rate on dialysis is higher than after transplantation even after adjusting for patient characteristics.3


Renal Transplant Deceased Donor Donor Nephrectomy Chronic Allograft Nephropathy Laparoscopic Donor Nephrectomy 
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Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Stuart J. Knechtle
    • 1
  1. 1.Departments of Transplantation and SurgeryUniversity of Wisconsin Medical SchoolMadisonUSA

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