Impact of Pancreatic Allograft Function on 1-Year Survival Rates After Simultaneous Pancreatic-Renal Transplant

Impact of Pancreatic Allograft Function on 1-Year Survival Rates After Simultaneous Pancreatic-Renal Transplant

Author Rangel, Erika Bevilaqua Autor UNIFESP Google Scholar
Melaragno, Cláudio Santiago Autor UNIFESP Google Scholar
Gonzalez, Adriano Miziara Autor UNIFESP Google Scholar
Linhares, Marcelo Moura Autor UNIFESP Google Scholar
Sá, João Roberto de Autor UNIFESP Google Scholar
Salzedas, Alcides Autor UNIFESP Google Scholar
Pestana, Jose Osmar Medina Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Abstract Objectives: Simultaneous pancreatic-renal transplant is an effective treatment for insulin-dependent patients with chronic renal failure. We sought to identify the main influences on pancreatic and patient survival rates after simultaneous pancreas-kidney transplants.Patients and Methods: The 1-year patient and pancreas survival rates of 150 patients who had undergone simultaneous pancreas-kidney transplant were analyzed by the Cox proportional hazards regression model and the Kaplan-Meier method. Uni- and multivariate analyses were performed in terms of transplant-, recipient-, and donor-related risk factors.Results: At 1 year, patient and pancreatic allograft survival rates were 82% and 76.7%, respectively. Delayed graft function in the kidney (P = .001, HR 5.41), acute kidney rejection (P = .016, HR 3.36), and intra-abdominal infection (P < .0001, HR 4.15) were the main factors related to 1-year patient survival. Pancreatic allograft survival at 1 year was related to intra-abdominal infection (P < .0001, OR 12.83), vascular thrombosis (P = .002, OR 40.55), acute kidney rejection (P = .027, OR 3.06), donor sodium greater than 155 mEq/L (P = .02, OR 3.27), and dopamine administration exceeding 7.6 mu g/kg/min (P = .046, OR 2.85).Conclusions: Delayed kidney allograft function and intra-abdominal infection had an important effect on both patient and pancreatic allograft survival rates.
Keywords Pancreas-kidney transplantation
Survival
Complications
Language English
Date 2008-12-01
Published in Experimental And Clinical Transplantation. Ankara: Baskent Univ, v. 6, n. 4, p. 301-306, 2008.
ISSN 1304-0855 (Sherpa/Romeo, impact factor)
Publisher Baskent Univ
Extent 301-306
Origin http://www.ectrx.org/forms/ectrxcontentshow.php?doi_id=&year=2008&volume=6&issue=4&supplement=0&makale_no=0&spage_number=301&content_type=FULL%20TEXT
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000271971600011
URI http://repositorio.unifesp.br/11600/43639

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