Left versus right deceased donor renal allograft outcome.

Hdl Handle:
http://hdl.handle.net/10147/127228
Title:
Left versus right deceased donor renal allograft outcome.
Authors:
Phelan, Paul J; Shields, William; O'Kelly, Patrick; Pendergrass, Melissa; Holian, John; Walshe, Joseph J; Magee, Colm; Little, Dilly; Hickey, David; Conlon, Peter J
Affiliation:
Department of Nephrology, Beaumont Hospital, Dublin 9, Ireland. paulphel@gmail.com
Citation:
Left versus right deceased donor renal allograft outcome. 2009, 22 (12):1159-63 Transpl. Int.
Journal:
Transplant international : official journal of the European Society for Organ Transplantation
Issue Date:
Dec-2009
URI:
http://hdl.handle.net/10147/127228
PubMed ID:
19891044
Abstract:
It has been suggested that the left kidney is easier to transplant than the right kidney because of the longer length of the left renal vein, facilitating the formation of the venous anastomosis. There are conflicting reports of differing renal allograft outcomes based on the side of donor kidney transplanted (left or right).We sought to determine the effect of side of donor kidney on early and late allograft outcome in our renal transplant population. We performed a retrospective analysis of transplanted left-right deceased donor kidney pairs in Ireland between January 1, 1998 and December 31, 2008. We used a time to death-censored graft failure approach for long-term allograft survival and also examined serum creatinine at different time points post-transplantation. All outcomes were included from day of transplant onwards. A total of 646 transplants were performed from 323 donors. The incidence of delayed graft function was 16.1% in both groups and there was no significant difference in acute rejection episodes or serum creatinine from 1 month to 8 years post-transplantation.There were 47 death-censored allograft failures in the left-sided group compared to 57 in the right-sided group (P = 0.24). These observations show no difference in renal transplant outcome between the recipients of left- and right-sided deceased donor kidneys.
Item Type:
Article
Language:
en
MeSH:
Adult; Cadaver; Creatinine; Female; Graft Survival; Humans; Kidney; Kidney Failure, Chronic; Kidney Transplantation; Male; Middle Aged; Retrospective Studies; Time Factors; Transplantation, Homologous; Treatment Outcome
ISSN:
1432-2277

Full metadata record

DC FieldValue Language
dc.contributor.authorPhelan, Paul Jen
dc.contributor.authorShields, Williamen
dc.contributor.authorO'Kelly, Patricken
dc.contributor.authorPendergrass, Melissaen
dc.contributor.authorHolian, Johnen
dc.contributor.authorWalshe, Joseph Jen
dc.contributor.authorMagee, Colmen
dc.contributor.authorLittle, Dillyen
dc.contributor.authorHickey, Daviden
dc.contributor.authorConlon, Peter Jen
dc.date.accessioned2011-04-05T14:35:46Z-
dc.date.available2011-04-05T14:35:46Z-
dc.date.issued2009-12-
dc.identifier.citationLeft versus right deceased donor renal allograft outcome. 2009, 22 (12):1159-63 Transpl. Int.en
dc.identifier.issn1432-2277-
dc.identifier.pmid19891044-
dc.identifier.urihttp://hdl.handle.net/10147/127228-
dc.description.abstractIt has been suggested that the left kidney is easier to transplant than the right kidney because of the longer length of the left renal vein, facilitating the formation of the venous anastomosis. There are conflicting reports of differing renal allograft outcomes based on the side of donor kidney transplanted (left or right).We sought to determine the effect of side of donor kidney on early and late allograft outcome in our renal transplant population. We performed a retrospective analysis of transplanted left-right deceased donor kidney pairs in Ireland between January 1, 1998 and December 31, 2008. We used a time to death-censored graft failure approach for long-term allograft survival and also examined serum creatinine at different time points post-transplantation. All outcomes were included from day of transplant onwards. A total of 646 transplants were performed from 323 donors. The incidence of delayed graft function was 16.1% in both groups and there was no significant difference in acute rejection episodes or serum creatinine from 1 month to 8 years post-transplantation.There were 47 death-censored allograft failures in the left-sided group compared to 57 in the right-sided group (P = 0.24). These observations show no difference in renal transplant outcome between the recipients of left- and right-sided deceased donor kidneys.-
dc.language.isoenen
dc.subject.meshAdult-
dc.subject.meshCadaver-
dc.subject.meshCreatinine-
dc.subject.meshFemale-
dc.subject.meshGraft Survival-
dc.subject.meshHumans-
dc.subject.meshKidney-
dc.subject.meshKidney Failure, Chronic-
dc.subject.meshKidney Transplantation-
dc.subject.meshMale-
dc.subject.meshMiddle Aged-
dc.subject.meshRetrospective Studies-
dc.subject.meshTime Factors-
dc.subject.meshTransplantation, Homologous-
dc.subject.meshTreatment Outcome-
dc.titleLeft versus right deceased donor renal allograft outcome.en
dc.typeArticleen
dc.contributor.departmentDepartment of Nephrology, Beaumont Hospital, Dublin 9, Ireland. paulphel@gmail.comen
dc.identifier.journalTransplant international : official journal of the European Society for Organ Transplantationen
dc.description.provinceLeinster-

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