Outcomes of Kidney Transplantation at Phramongkutklao Hospital: A 27-year Experience
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Abstract
Background: Kidney transplantation (KT) is the best renal replacement therapy for end-stage renal disease (ESRD) patient. A successful KT improves quality of life and reduces mortality in the recipient. Assessment of KT outcome provides an opportunity to improve quality of care and management of the center.
Objective: To determine patient survival and allograft survival of kidney transplant recipients at Phramongkutklao Hospital (PMKH).
Methods: Follow-up data of KT recipient between1987–2016 were collected. Age greater than 18 with first KT was enrolled. Graft loss was defined as the need for permanent dialysis, re-transplantation, or death with functioning graft.
Results: Two hundred and sixty-five kidney transplant recipients received KT at PMKH during the study period, 109 patients were eligible for analysis. Average age was 39.2±9.2 years, 67.0% was male. Living donor KT (LDKT) and cadaveric donor KT (CDKT) were 65.1% and 34.9 %, respectively. Median time for post transplantation follow up was 9 years (range 3-27 years). Waiting time for CDKT was 4.6± 3.1 years. Overall patient survival rates were 99.2, 97.0, and 90.2% at 1, 5, and 10 years, respectively. Primary cause of death was sepsis. The 1-year, 5-year and 10-year, overall graft survival rates were 99.1, 95.0, and 83.1%, respectively. Longest allograft survival of LDKT and CDKT in our center were 27 and 18 years, respectively.
Conclusions: Outcomes of 27-year experience of kidney transplantation at PMKH were good and similar to other center’s benchmarks.
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References
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