J Korean Soc Transplant.  2001 Dec;15(2):183-188.

Clinical Analysis on 200 Cases of Kidney Transplantation in a Single Center

• Kim SK
• Park JH
• Yoon SA
• Yang CW
• Jin DC
• Kim SY
• Bang BK
• Seo SI
• Yoon KJ
• Ahn CJ

Abstract

PURPOSE: To determine the risk factors relating renal allograft and patient survival, we, Dae Jeon St. Mary's Hospital transplantaion team, Dae Jeon, Korea, reviewed 200 cases of kidney transplantation.
METHODS
200 medical records of kidney transplantation from February 1988 to June 2000 was reviewed retrospectively. The clinical follow up period was February 2001, and clinical analysis was done.
RESULTS
1) The original renal disease of the cases were 78 cases of chronic glomerulonephritis, 18 cases of diabetic nephropathy, 16 cases of hypertensive nephrosclerosis and 1 case of lupus nephritis, 2) The recipient-donor relationships were 14 cases of parent to offspring, 9 cases of offspring to parents, 26 cases of between siblings. There were 150 cases of non- related donor and 1 case of cadaveric donor, 3) At the end of Feb. 2001, 33 graft and 10 patients were lost (5 year graft survival was 88.3% and 5 year patient survival rate was 94.6%), 4) 7 cases of malignant tumors, 171 cases of hypertension, 141 cases of hyperlipdemia, 76 cases of Cushing's disease and 58 cases of hyperuricemia were developed, 5) There were 114 cases of infections (41 cases of bacterial infections, 40 cases of viral infections, 13 cases of tuberculosis and 20 cases of fungal infections), 6) The cases of surgical complications were 16 cases of lymphocele, 9 cases of urinary leakage, 5 cases of hematome and other 3 cases, 7) The factor analysis for graft survival showed that the donor and recipient age, number of acute rejection episodes had statistical significance.
CONCLUSION
Episodes of acute rejection and old age group both in donor and recipient over 50 were the risk factors affecting renal allograft survival.

Keyword

Kidney transplantation; Kidney graft survival; Posttransplantation complication

MeSH Terms

Allografts
Bacterial Infections
Cadaver
Daejeon
Diabetic Nephropathies
Follow-Up Studies
Glomerulonephritis
Graft Survival
Humans
Hypertension
Hyperuricemia
Kidney Transplantation*
Kidney*
Korea
Lupus Nephritis
Lymphocele
Medical Records
Nephrosclerosis
Parents
Retrospective Studies
Risk Factors
Siblings
Survival Rate
Tissue Donors
Transplants
Tuberculosis