We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Outcome of Patients after Third and Fourth Kidney Transplantation.
- Authors
Friedersdorff, Frank; Patabendhi, Supuni; Busch, Jonas; Kempkensteffen, Carsten; Halleck, Fabian; Fuller, Tom Florian; Miller, Kurt; Peters, Robert
- Abstract
Introduction: A debate exists whether patients after second graft loss should be considered for a third and subsequent graft. Hence, a retrospective analysis was undertaken to assess outcomes of patients who underwent third and fourth transplantation. Materials and Methods: A total number of 16 kidney transplantations, were included in the present study. Thirteen patients out of them underwent a third kidney transplantation and 3 were fourth graft recipients. Data and variables on patient and graft survival were retrieved and analyzed using Kaplan-Meier statistics. Postoperative complications were assessed and graded based on Clavien-Dindo classification. Results: Patient survival was 92.3% after 1 year and 76.9% after 5 years (third graft). One year censored graft survival was 100% and a 5-year graft survival was 74.1% (third graft), respectively. In the cases of fourth transplantation, graft survivals of 33.3% at 1 and 2 years were noted among 3 patients. All fourth graft recipients have survived during our observation time. The overall rate of postoperative surgical complications among third graft recipients was 46.2 and 66.7% among patients after fourth transplantation. Conclusions: Results on third kidney transplantation showed satisfactory patient and graft survival with acceptable outcome.
- Subjects
KIDNEY transplant complications; SURVIVAL analysis (Biometry); POSTOPERATIVE care; KAPLAN-Meier estimator; HEALTH outcome assessment
- Publication
Urologia Internationalis, 2016, Vol 97, Issue 4, p445
- ISSN
0042-1138
- Publication type
Article
- DOI
10.1159/000445216