Long-term effects of delayed graft function duration on function and survival of deceased donor kidney transplants
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Jornal Brasileiro de Nefrologia |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002019000200231 |
Resumo: | Abstract Introduction: Delayed graft function (DGF) is a frequent complication after deceased donor kidney transplantation with an impact on the prognosis of the transplant. Despite this, long-term impact of DGF on graft function after deceased donor kidney transplantation has not been properly evaluated. Objective: The main objective of this study was to evaluate risk factors for DGF and the impact of its occurrence and length on graft survival and function. Methods: A retrospective cohort study was performed in 517 kidney transplant recipients who received a deceased donor organ between January 2008 and December 2013. Results: The incidence of DGF was 69.3% and it was independently associated with donor's final serum creatinine and age, cold ischemia time, use of antibody induction therapy and recipient's diabetes mellitus. The occurrence of DGF was also associated with a higher incidence of Banff ≥ 1A grade acute rejection (P = 0.017), lower graft function up to six years after transplantation and lower death-censored graft survival at 1 and 5 years (P < 0.05). DGF period longer than 14 days was associated with higher incidence of death-censored graft loss (P = 0.038) and poorer graft function (P < 0.001). No differences were found in patient survival. Conclusions: The occurrence of DGF has a long-lasting detrimental impact on graft function and survival and this impact is even more pronounced when DGF lasts longer than two weeks. |
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Long-term effects of delayed graft function duration on function and survival of deceased donor kidney transplantsKidney TransplantationDelayed Graft FunctionGraft SurvivalSurvival AnalysisGraft RejectionAbstract Introduction: Delayed graft function (DGF) is a frequent complication after deceased donor kidney transplantation with an impact on the prognosis of the transplant. Despite this, long-term impact of DGF on graft function after deceased donor kidney transplantation has not been properly evaluated. Objective: The main objective of this study was to evaluate risk factors for DGF and the impact of its occurrence and length on graft survival and function. Methods: A retrospective cohort study was performed in 517 kidney transplant recipients who received a deceased donor organ between January 2008 and December 2013. Results: The incidence of DGF was 69.3% and it was independently associated with donor's final serum creatinine and age, cold ischemia time, use of antibody induction therapy and recipient's diabetes mellitus. The occurrence of DGF was also associated with a higher incidence of Banff ≥ 1A grade acute rejection (P = 0.017), lower graft function up to six years after transplantation and lower death-censored graft survival at 1 and 5 years (P < 0.05). DGF period longer than 14 days was associated with higher incidence of death-censored graft loss (P = 0.038) and poorer graft function (P < 0.001). No differences were found in patient survival. Conclusions: The occurrence of DGF has a long-lasting detrimental impact on graft function and survival and this impact is even more pronounced when DGF lasts longer than two weeks.Sociedade Brasileira de Nefrologia2019-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002019000200231Brazilian Journal of Nephrology v.41 n.2 2019reponame:Jornal Brasileiro de Nefrologiainstname:Sociedade Brasileira de Nefrologia (SBN)instacron:SBN10.1590/2175-8239-jbn-2018-0065info:eu-repo/semantics/openAccessHelfer,Mateus SwarovskyPompeo,Jeferson de CastroCosta,Otávio Roberto SilvaVicari,Alessandra RosaRibeiro,Adriana ReginatoManfro,Roberto Cerattieng2019-07-29T00:00:00Zoai:scielo:S0101-28002019000200231Revistahttp://www.bjn.org.br/ONGhttps://old.scielo.br/oai/scielo-oai.php||jbn@sbn.org.br2175-82390101-2800opendoar:2019-07-29T00:00Jornal Brasileiro de Nefrologia - Sociedade Brasileira de Nefrologia (SBN)false |
dc.title.none.fl_str_mv |
Long-term effects of delayed graft function duration on function and survival of deceased donor kidney transplants |
title |
Long-term effects of delayed graft function duration on function and survival of deceased donor kidney transplants |
spellingShingle |
Long-term effects of delayed graft function duration on function and survival of deceased donor kidney transplants Helfer,Mateus Swarovsky Kidney Transplantation Delayed Graft Function Graft Survival Survival Analysis Graft Rejection |
title_short |
Long-term effects of delayed graft function duration on function and survival of deceased donor kidney transplants |
title_full |
Long-term effects of delayed graft function duration on function and survival of deceased donor kidney transplants |
title_fullStr |
Long-term effects of delayed graft function duration on function and survival of deceased donor kidney transplants |
title_full_unstemmed |
Long-term effects of delayed graft function duration on function and survival of deceased donor kidney transplants |
title_sort |
Long-term effects of delayed graft function duration on function and survival of deceased donor kidney transplants |
author |
Helfer,Mateus Swarovsky |
author_facet |
Helfer,Mateus Swarovsky Pompeo,Jeferson de Castro Costa,Otávio Roberto Silva Vicari,Alessandra Rosa Ribeiro,Adriana Reginato Manfro,Roberto Ceratti |
author_role |
author |
author2 |
Pompeo,Jeferson de Castro Costa,Otávio Roberto Silva Vicari,Alessandra Rosa Ribeiro,Adriana Reginato Manfro,Roberto Ceratti |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Helfer,Mateus Swarovsky Pompeo,Jeferson de Castro Costa,Otávio Roberto Silva Vicari,Alessandra Rosa Ribeiro,Adriana Reginato Manfro,Roberto Ceratti |
dc.subject.por.fl_str_mv |
Kidney Transplantation Delayed Graft Function Graft Survival Survival Analysis Graft Rejection |
topic |
Kidney Transplantation Delayed Graft Function Graft Survival Survival Analysis Graft Rejection |
description |
Abstract Introduction: Delayed graft function (DGF) is a frequent complication after deceased donor kidney transplantation with an impact on the prognosis of the transplant. Despite this, long-term impact of DGF on graft function after deceased donor kidney transplantation has not been properly evaluated. Objective: The main objective of this study was to evaluate risk factors for DGF and the impact of its occurrence and length on graft survival and function. Methods: A retrospective cohort study was performed in 517 kidney transplant recipients who received a deceased donor organ between January 2008 and December 2013. Results: The incidence of DGF was 69.3% and it was independently associated with donor's final serum creatinine and age, cold ischemia time, use of antibody induction therapy and recipient's diabetes mellitus. The occurrence of DGF was also associated with a higher incidence of Banff ≥ 1A grade acute rejection (P = 0.017), lower graft function up to six years after transplantation and lower death-censored graft survival at 1 and 5 years (P < 0.05). DGF period longer than 14 days was associated with higher incidence of death-censored graft loss (P = 0.038) and poorer graft function (P < 0.001). No differences were found in patient survival. Conclusions: The occurrence of DGF has a long-lasting detrimental impact on graft function and survival and this impact is even more pronounced when DGF lasts longer than two weeks. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-06-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002019000200231 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002019000200231 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/2175-8239-jbn-2018-0065 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Nefrologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Nefrologia |
dc.source.none.fl_str_mv |
Brazilian Journal of Nephrology v.41 n.2 2019 reponame:Jornal Brasileiro de Nefrologia instname:Sociedade Brasileira de Nefrologia (SBN) instacron:SBN |
instname_str |
Sociedade Brasileira de Nefrologia (SBN) |
instacron_str |
SBN |
institution |
SBN |
reponame_str |
Jornal Brasileiro de Nefrologia |
collection |
Jornal Brasileiro de Nefrologia |
repository.name.fl_str_mv |
Jornal Brasileiro de Nefrologia - Sociedade Brasileira de Nefrologia (SBN) |
repository.mail.fl_str_mv |
||jbn@sbn.org.br |
_version_ |
1752122065182261248 |