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Living-donor and deceased-donor renal transplantation: differences in early outcome: a single-center experience

2015Journal article Restricted access
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dc.contributor.authorGuimarães, J.
dc.contributor.authorAraújo, A. M.
dc.contributor.authorSantos, F.
dc.contributor.authorNunes, Catarina S.
dc.contributor.authorCasal, M.
dc.date.accessioned2021-05-13T11:49:31Z
dc.date.available2021-05-13T11:49:31Z
dc.date.issued2015
dc.description.abstractLiving-donor renal transplant (LDRT) yields better long-term outcomes than cadaver-donor renal transplant (CDRT). The aim of the present study was to identify the differences in the early postoperative period between LDRT and CDRT recipients. A retrospective study was conducted including all patients receiving a LDRT and CDRT in this center in 2012 and 2013. A total of 153 recipients were identified (CDRT n = 113, LDRT n = 40). On average, LDRT recipients were younger by 12.7 years (P < .001) and had fewer comorbidities (P < .05). There were no differences in gender or primary kidney disease. Mean time on dialysis, dialytic technique, and ischemia time were different between groups (P < .001, P < .01, P < .001, respectively). On average the length of hospital stay for LDRT recipients was 7 days shorter (P < .001). We found significant differences in the occurrence of early complications (P < .001) and its subtypes, with the exception of neurologic and respiratory complications. There were no differences in reinterventions and readmissions between groups. Recipients' age was an independent risk factor for overall postoperative complications and infectious complications; hypertension before renal transplant and cold ischemia time were predictors for cardiovascular complications; and cold ischemia time also was a predictor of nephrourologic and endocrine complications. CDRT patients had more postoperative complications during hospital stay. The variables identified as predictors of early outcome were different for the 2 groups of patients. Modifiable risk factors for better early outcomes and the impact of immediate complications in long-term graft survival must be investigated.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationGuimaraes J, Araujo AM, Santos F, Nunes CS, Casal M (2015). "Living-donor and Deceased-donor Renal Transplantation: Differences in Early Outcome-A Single-center Experience." Transplantation Proceedings 47(4): 958-962pt_PT
dc.identifier.doi10.1016/j.transproceed.2015.03.008pt_PT
dc.identifier.issn0041-1345
dc.identifier.urihttp://hdl.handle.net/10400.2/10729
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherElsevierpt_PT
dc.subjectAdultpt_PT
dc.subjectCadaverpt_PT
dc.subjectCohort studiespt_PT
dc.subjectCold ischemiapt_PT
dc.subjectFemalept_PT
dc.subjectHumanspt_PT
dc.subjectKidney failure, Chronicpt_PT
dc.subjectKidney transplantationpt_PT
dc.subjectLength of staypt_PT
dc.subjectLiving donorspt_PT
dc.subjectMalept_PT
dc.subjectMiddle agedpt_PT
dc.subjectPortugalpt_PT
dc.subjectPostoperative complicationspt_PT
dc.subjectRetrospective studiespt_PT
dc.subjectRisk factorspt_PT
dc.subjectTissue donorspt_PT
dc.subjectTreatment outcomept_PT
dc.subjectWarm ischemiapt_PT
dc.subjectGraft survivalpt_PT
dc.titleLiving-donor and deceased-donor renal transplantation: differences in early outcome: a single-center experiencept_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage962pt_PT
oaire.citation.issue4pt_PT
oaire.citation.startPage958pt_PT
oaire.citation.titleTransplantation Proceedingspt_PT
oaire.citation.volume47pt_PT
person.familyNameNunes
person.givenNameCatarina S.
person.identifier.ciencia-id691F-CDC2-E26A
person.identifier.orcid0000-0002-8357-0994
rcaap.rightsrestrictedAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublicationcc3069ec-f930-455f-9226-b77e5d2dc14b
relation.isAuthorOfPublication.latestForDiscoverycc3069ec-f930-455f-9226-b77e5d2dc14b

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