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Follow-up after ren...
Follow-up after renal transplantation with organs from donors after cardiac death
- Article/chapterEnglish2006
Publisher, publication year, extent ...
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Frontiers Media SA,2006
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printrdacarrier
Numbers
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LIBRIS-ID:oai:DiVA.org:uu-24709
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https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-24709URI
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https://doi.org/10.1111/j.1432-2277.2006.00337.xDOI
Supplementary language notes
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Language:English
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Summary in:English
Part of subdatabase
Classification
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Subject category:ref swepub-contenttype
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Subject category:art swepub-publicationtype
Notes
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Kidneys obtained from donors after cardiac death (DCD) are known to have higher rates of primary nonfunction and delayed graft function (DGF) than heart beating cadaveric donor (CAD) kidneys, but little is known about long-term function of DCD grafts that survive to 1 year. To investigate the outcomes of renal transplant recipients whose DCD graft functioned for at least 1 year, this study analyzed data collected from 326 DCD graft recipients and 340 CAD-matched controls enrolled in a prospective, multinational, observational study - Neoral (R)-MOST (Multinational Observational Study in Transplantation) (Novartis, Basel, Switzerland). No differences were found in the demographics or immunosuppression between the two groups. All patients received a Neoral (R)-based immunosuppressive regimen. Donors after cardiac death graft recipients had a higher incidence of DGF (40% vs. 27% CAD; P < 0.001). One year glomerular filtration rate (GFR) and GFR-decline after 1 year were similar in DCD and CAD recipients (GFR 56 ml/min DCD vs. 59 ml/min CAD; GFR-decline -1.3 ml/min DCD vs. -1.4 ml/min CAD; P = not significant). Multifactorial analyses confirmed that GFR at 1 year was significantly influenced by donor age and gender, DGF, and acute rejection; however, DCD status was not an independent risk factor in cyclosporine-treated patients with grafts that had functioned for at least 1 year.
Subject headings and genre
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cyclosporine
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donor after cardiac death
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immunosuppression
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kidney transplant
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renal function
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MEDICINE
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MEDICIN
Added entries (persons, corporate bodies, meetings, titles ...)
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Bock, Andreas
(author)
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Dussol, Bertrand
(author)
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Fritsche, Lutz
(author)
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Kliem, Volker
(author)
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Lebranchu, Yvon
(author)
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Oppenheimer, Federico
(author)
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Pohanka, Erich
(author)
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Salvadori, Maurizio
(author)
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Tufveson, GunnarUppsala universitet,Transplantationskirurgi(Swepub:uu)gutuf839
(author)
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Uppsala universitetTransplantationskirurgi
(creator_code:org_t)
Related titles
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In:Transplant International: Frontiers Media SA19:9, s. 715-7190934-08741432-2277
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- By the author/editor
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Chapman, Jeremy
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Bock, Andreas
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Dussol, Bertrand
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Fritsche, Lutz
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Kliem, Volker
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Lebranchu, Yvon
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Oppenheimer, Fed ...
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Pohanka, Erich
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Salvadori, Mauri ...
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Tufveson, Gunnar
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Transplant Inter ...
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Uppsala University