Pregnancy in renal transplant recipients : Long-term effect on patient and graft survival. A single-center experience

There are limited data on the effect of pregnancy on long-term renal allograft function. The aim of the study was to compare long-term graft and patient outcome between pregnant and nonpregnant women after renal transplantation. The study group consisted of 39 women attending the Perinatal Division...

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Veröffentlicht in:Transplantation 2006-03, Vol.81 (5), p.660-664
Hauptverfasser: RAHAMIMOV, Ruth, BEN-HAROUSH, Avi, WITTENBERG, Clara, MOR, Eytan, LUSTIG, Shamir, GAFFER, Uzi, HOD, Moshe, BAR, Jacob
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container_end_page 664
container_issue 5
container_start_page 660
container_title Transplantation
container_volume 81
creator RAHAMIMOV, Ruth
BEN-HAROUSH, Avi
WITTENBERG, Clara
MOR, Eytan
LUSTIG, Shamir
GAFFER, Uzi
HOD, Moshe
BAR, Jacob
description There are limited data on the effect of pregnancy on long-term renal allograft function. The aim of the study was to compare long-term graft and patient outcome between pregnant and nonpregnant women after renal transplantation. The study group consisted of 39 women attending the Perinatal Division of the Rabin Medical Center who conceived after undergoing renal transplantation (total number of live births: 55). All had a functioning allograft at the time of conception. Each patient was matched with 3 controls for 12 factors known to affect graft survival. The controls were derived from a cohort of 250,000 transplant patients registered in the Collaborative Transplantation Study (CTS) database. The groups were compared for graft survival, long-term patient survival, and kidney function (CTS clinical grading scale). Graft (61.6%) and patient (84.8 %) survival from transplantation to the end of follow-up (15 years) in the women who conceived after transplantation did not differ from the rates observed in the 177 women in the matched control group (68.7% and 78.8 %, respectively). There were no between-group differences in long-term graft function. Pregnancy does not appear to have adverse effects on long-term graft or patient survival or kidney function in women after renal transplantation.
doi_str_mv 10.1097/01.tp.0000166912.60006.3d
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The controls were derived from a cohort of 250,000 transplant patients registered in the Collaborative Transplantation Study (CTS) database. The groups were compared for graft survival, long-term patient survival, and kidney function (CTS clinical grading scale). Graft (61.6%) and patient (84.8 %) survival from transplantation to the end of follow-up (15 years) in the women who conceived after transplantation did not differ from the rates observed in the 177 women in the matched control group (68.7% and 78.8 %, respectively). There were no between-group differences in long-term graft function. 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subjects Adolescent
Adult
Biological and medical sciences
Case-Control Studies
Child
Female
Fundamental and applied biological sciences. Psychology
Fundamental immunology
Graft Survival
Humans
Kidney - physiopathology
Kidney Transplantation
Live Birth
Medical sciences
Pregnancy
Pregnancy Complications - diagnosis
Pregnancy Complications - mortality
Pregnancy Outcome
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Tissue, organ and graft immunology
title Pregnancy in renal transplant recipients : Long-term effect on patient and graft survival. A single-center experience
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