Álvarez-Rangel LE, Martínez-Guillén P, Granados-Ventura L, Cuamba-Nambo I, Pérez-López MJ, Chávez-López EL, Aguilar-Martínez C. [Long-term patient and graft survival in kidney transplant recipients].
Rev Med Inst Mex Seguro Soc 2019;
57:348-356. [PMID:
33001610]
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Abstract
BACKGROUND
Kidney transplantation is the therapy of choice for patients with chronic renal failure. In Mexico, good short-term results have been reported for graft survival, which is why it was carried out a study in a third level center in Mexico City to broaden these results.
OBJECTIVE
To identify long-term results of patient and graft survival.
MATERIAL AND METHODS
Retrospective study with first 1600 kidney transplants performed at the Hospital de Especialidades (Specialties Hospital) "Dr. Antonio Fraga Mouret" from La Raza National Medical Center. Patient and graft survival was analyzed at 1, 3, 5, 7 and 10 years. Kaplan Meier survival analysis and log rank test were performed.
RESULTS
Between October 1979 and May 2015, 1600 kidney transplants were performed (1473 [92.1%] of living donor and 127 [7.9%] of deceased donor). Graft survival censored for death with functional graft at 1, 3, 5, 7 and 10 years was 95.4, 91.7, 88.2, 86.6 and 85.5%, respectively. Patient survival was 92.7, 90.4, 89.7, 89.4, and 88.9% at 1, 3, 5, 7 and 10 years, respectively.
CONCLUSIONS
Long-term patient and graft survival in our center is similar to that reported by other centers at an international level.
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