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Revista médica de Chile

versão impressa ISSN 0034-9887

Resumo

CARMONA R, Carolina; HUIDOBRO E, Juan Pablo  e  VEGA S, Jorge. Survival among renal allograft recipients from non related living donors. Rev. méd. Chile [online]. 2015, vol.143, n.2, pp.147-157. ISSN 0034-9887.  http://dx.doi.org/10.4067/S0034-98872015000200001.

Background: There is a gap between the number of patients requiring a renal allograft and the number of potential deceased donors (DD). One alternative is using allografts from non-related living donors (NRLD). Aim: To compare survival and complications of renal allograft recipients from DD, related living donors (RLD) and NRLD. Material and Methods: Observational study of a cohort of renal allograft recipients. Of 253 transplants performed in a Chilean region between 1981 and 2003, 20 patients received and allograft from a NRLD. Graft and patient survival of these patients were compared with those of 93 patients receiving an allograft from a related living donor and 140 receiving it from a DD. Patients were followed for 10 years or until death or dialysis requirement. Results: No significant differences between groups in graft and patient survival, deaths with a functioning graft or return to dialysis were observed. Receptors of DD had more hospital admissions during the first years after receiving the graft, usually due to infections. Also a delayed graft function was more common among them. Glomerular filtration rate ten years after the graft was similar among the three groups. Conclusions: No differences in graft or patient survival was observed between patients receiving a renal allograft from NRLD, RLD or DD.

Palavras-chave : Graft survival; Kidney transplantation; Living donors; Prognosis; Unrelated donors.

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