Short-term and long-term effects of slow graft function on graft survival in pediatric live donor renal transplantation

Otukesh H, Hosein R, Fereshtehnejad S‐M, Riahifard A, Basiri A, Simforoosh N, Chalian M, Jazayeri S, Chalian H, Safarzadeh AE, Sharifian M, Hoseini S. Short‐term and long‐term effects of slow graft function on graft survival in pediatric live donor renal transplantation. Pediatr Transplantation 2010...

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Veröffentlicht in:Pediatric transplantation 2010-03, Vol.14 (2), p.196-202
Hauptverfasser: Otukesh, Hasan, Hosein, Rozita, Fereshtehnejad, Seyed-Mohammad, Riahifard, Azam, Basiri, Abbas, Simforoosh, Naser, Chalian, Majid, Jazayeri, Somayeh, Chalian, Hamid, Safarzadeh, Amir Ebrahim, Sharifian, Mostapha, Hoseini, Sara
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container_end_page 202
container_issue 2
container_start_page 196
container_title Pediatric transplantation
container_volume 14
creator Otukesh, Hasan
Hosein, Rozita
Fereshtehnejad, Seyed-Mohammad
Riahifard, Azam
Basiri, Abbas
Simforoosh, Naser
Chalian, Majid
Jazayeri, Somayeh
Chalian, Hamid
Safarzadeh, Amir Ebrahim
Sharifian, Mostapha
Hoseini, Sara
description Otukesh H, Hosein R, Fereshtehnejad S‐M, Riahifard A, Basiri A, Simforoosh N, Chalian M, Jazayeri S, Chalian H, Safarzadeh AE, Sharifian M, Hoseini S. Short‐term and long‐term effects of slow graft function on graft survival in pediatric live donor renal transplantation. Pediatr Transplantation 2010:14:196–202. © 2009 John Wiley & Sons A/S. :  SGF generally has early and long‐term consequences for allograft survival. Limited studies have been performed on SGF and its complications in pediatric renal transplantation. Therefore, 230 children who received transplants between 1985 and 2005 in Labafi Nejad hospital were included in this study. SGF was defined if the serum creatinine level increased, remained unchanged, or decreased by
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Short‐term and long‐term effects of slow graft function on graft survival in pediatric live donor renal transplantation. Pediatr Transplantation 2010:14:196–202. © 2009 John Wiley &amp; Sons A/S. :  SGF generally has early and long‐term consequences for allograft survival. Limited studies have been performed on SGF and its complications in pediatric renal transplantation. Therefore, 230 children who received transplants between 1985 and 2005 in Labafi Nejad hospital were included in this study. SGF was defined if the serum creatinine level increased, remained unchanged, or decreased by &lt;10% per day immediately after surgery during three consecutive days in the first week after transplantation. The children were divided into two groups: 183 children in group A (non‐SGF) and 47 patients in group B (SGF). The impact of SGF on renal function within the first year, long‐term graft survival and post‐transplantation complications were analyzed and compared using logistic regression model and Kaplan–Meier survival analysis. The incidence of graft failure at the end of follow‐up period was significantly more common in SGF group (53.2% vs. 22.4%, p &lt; 0.001). The median survival time was 140.25 (s.e.m. = 19.35) months in group A (non‐SGF) and 60 (s.e.m. = 17.90) months in group B (SGF) (p &lt; 0.001). The graft survival rate was 94.9%, 91.9%, 83.9%, 79.2%, and 72% at one, three, five, seven, and twelve yr after transplantation in children without SGF vs. 75.6%, 53.2%, 47.2%, 40% at one, three, five, and seven yr after transplantation in patients with SGF. The results of our study showed that slow graft function could remarkably affect graft survival and worsen both short‐term and long‐term transplantation outcomes. Thus, the prevention of SGF is one of the most important issues in graft survival improvement.</description><identifier>ISSN: 1397-3142</identifier><identifier>EISSN: 1399-3046</identifier><identifier>DOI: 10.1111/j.1399-3046.2009.01191.x</identifier><identifier>PMID: 19496981</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adolescent ; Biological and medical sciences ; Child ; Female ; General aspects ; graft loss ; Graft Survival ; Humans ; Kidney Function Tests ; Kidney Transplantation - adverse effects ; Living Donors ; Male ; Medical sciences ; pediatric renal transplantation ; Renal Insufficiency - diagnosis ; Renal Insufficiency - etiology ; Renal Insufficiency - physiopathology ; Retrospective Studies ; slow graft function ; Surgery (general aspects). Transplantations, organ and tissue grafts. 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Short‐term and long‐term effects of slow graft function on graft survival in pediatric live donor renal transplantation. Pediatr Transplantation 2010:14:196–202. © 2009 John Wiley &amp; Sons A/S. :  SGF generally has early and long‐term consequences for allograft survival. Limited studies have been performed on SGF and its complications in pediatric renal transplantation. Therefore, 230 children who received transplants between 1985 and 2005 in Labafi Nejad hospital were included in this study. SGF was defined if the serum creatinine level increased, remained unchanged, or decreased by &lt;10% per day immediately after surgery during three consecutive days in the first week after transplantation. The children were divided into two groups: 183 children in group A (non‐SGF) and 47 patients in group B (SGF). The impact of SGF on renal function within the first year, long‐term graft survival and post‐transplantation complications were analyzed and compared using logistic regression model and Kaplan–Meier survival analysis. The incidence of graft failure at the end of follow‐up period was significantly more common in SGF group (53.2% vs. 22.4%, p &lt; 0.001). The median survival time was 140.25 (s.e.m. = 19.35) months in group A (non‐SGF) and 60 (s.e.m. = 17.90) months in group B (SGF) (p &lt; 0.001). The graft survival rate was 94.9%, 91.9%, 83.9%, 79.2%, and 72% at one, three, five, seven, and twelve yr after transplantation in children without SGF vs. 75.6%, 53.2%, 47.2%, 40% at one, three, five, and seven yr after transplantation in patients with SGF. The results of our study showed that slow graft function could remarkably affect graft survival and worsen both short‐term and long‐term transplantation outcomes. Thus, the prevention of SGF is one of the most important issues in graft survival improvement.</description><subject>Adolescent</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Female</subject><subject>General aspects</subject><subject>graft loss</subject><subject>Graft Survival</subject><subject>Humans</subject><subject>Kidney Function Tests</subject><subject>Kidney Transplantation - adverse effects</subject><subject>Living Donors</subject><subject>Male</subject><subject>Medical sciences</subject><subject>pediatric renal transplantation</subject><subject>Renal Insufficiency - diagnosis</subject><subject>Renal Insufficiency - etiology</subject><subject>Renal Insufficiency - physiopathology</subject><subject>Retrospective Studies</subject><subject>slow graft function</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. 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Short‐term and long‐term effects of slow graft function on graft survival in pediatric live donor renal transplantation. Pediatr Transplantation 2010:14:196–202. © 2009 John Wiley &amp; Sons A/S. :  SGF generally has early and long‐term consequences for allograft survival. Limited studies have been performed on SGF and its complications in pediatric renal transplantation. Therefore, 230 children who received transplants between 1985 and 2005 in Labafi Nejad hospital were included in this study. SGF was defined if the serum creatinine level increased, remained unchanged, or decreased by &lt;10% per day immediately after surgery during three consecutive days in the first week after transplantation. The children were divided into two groups: 183 children in group A (non‐SGF) and 47 patients in group B (SGF). The impact of SGF on renal function within the first year, long‐term graft survival and post‐transplantation complications were analyzed and compared using logistic regression model and Kaplan–Meier survival analysis. The incidence of graft failure at the end of follow‐up period was significantly more common in SGF group (53.2% vs. 22.4%, p &lt; 0.001). The median survival time was 140.25 (s.e.m. = 19.35) months in group A (non‐SGF) and 60 (s.e.m. = 17.90) months in group B (SGF) (p &lt; 0.001). The graft survival rate was 94.9%, 91.9%, 83.9%, 79.2%, and 72% at one, three, five, seven, and twelve yr after transplantation in children without SGF vs. 75.6%, 53.2%, 47.2%, 40% at one, three, five, and seven yr after transplantation in patients with SGF. The results of our study showed that slow graft function could remarkably affect graft survival and worsen both short‐term and long‐term transplantation outcomes. Thus, the prevention of SGF is one of the most important issues in graft survival improvement.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>19496981</pmid><doi>10.1111/j.1399-3046.2009.01191.x</doi><tpages>7</tpages></addata></record>
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subjects Adolescent
Biological and medical sciences
Child
Female
General aspects
graft loss
Graft Survival
Humans
Kidney Function Tests
Kidney Transplantation - adverse effects
Living Donors
Male
Medical sciences
pediatric renal transplantation
Renal Insufficiency - diagnosis
Renal Insufficiency - etiology
Renal Insufficiency - physiopathology
Retrospective Studies
slow graft function
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the urinary system
survival
Time Factors
title Short-term and long-term effects of slow graft function on graft survival in pediatric live donor renal transplantation
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