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Risk Factors and Results of Second Renal Allografts

  • L. Martins
  • J. Queirós
  • A. Henriques
  • A. Sarmento
  • S. Guimãres
  • M. Pereira
Part of the Transplantation and Clinical Immunology book series (TRAC, volume 29)

Abstract

Between August 83 and April 97, 8% of 746 kidney transplants (KT) were retransplants. We analysed the prognostic factors of the regraft survival and compared the results with the corresponding pairs. Sixty patients with 36 ± 11 years old were retransplanted with cadaveric kidney, 28.8 ± 23 months after the loss of the first graft. The immunosup-pression used was: quadruple (n = 45), ATG (n = 7) cyclosporine (n = 6), triple (n = 1), Aza (n= 1). We could find no influence of the studied variables (cause of first graft failure, duration of primary graft function, time between primary graft failure and retransplant, immunosuppression schedule, last PRA, nephrectomy of the first graft, sex and donor age) on regraft survival. Peak PRA > 30% or less than 4 AB matching statistically decrease second graft survival (p=0.05). The actuarial graft and patient survival in the first year were 73.1 and 93% and at 5 years 55.4 and 83.9%, respectively. The graft pair’s survival at 1 and 5 years was 86.8 and 75.7%, respectively (p = 0.06).

Keywords

Public Health Prognostic Factor Patient Survival Kidney Transplant Graft Survival 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Copyright information

© Kluwer Academic Publishers 1997

Authors and Affiliations

  • L. Martins
    • 1
  • J. Queirós
    • 1
  • A. Henriques
    • 1
  • A. Sarmento
    • 1
  • S. Guimãres
    • 1
  • M. Pereira
    • 1
  1. 1.Serviço de Nefrología, Unidade de Transplante RenalHGSAPorto

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