Urgency Priority in Kidney Transplantation: Experience in Turkey

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dc.contributor.authorCelebi, Z. K.
dc.contributor.authorAkturk, S.
dc.contributor.authorErdogmus, S.
dc.contributor.authorKemaloglu, B.
dc.contributor.authorToz, H.
dc.contributor.authorPolat, K. Y.
dc.contributor.authorKeven, K.
dc.date.accessioned2019-10-27T22:26:44Z
dc.date.available2019-10-27T22:26:44Z
dc.date.issued2015
dc.departmentEge Üniversitesien_US
dc.description.abstractBackground. In Turkey, according to the directions of National Organ and Tissue Transplant Coordination System, a system has been established since 2008 of urgency priority for kidney transplantation in cases with imminent lack of access for either hemodialysis or peritoneal dialysis. In this study, we compared patient and graft outcomes between patients on the national waiting list having urgency priority for kidney transplantation (UKT) and those having the other kidney from the same deceased donor (control group). Methods. We examined retrospective data of patients, who underwent transplantation under urgency priority allocation in Turkey from 2010 to 2014 and compared that group with other patients receiving kidney transplants from the same deceased donors (control group). Then we compared these patients for early and long-term patient and graft outcomes. Results. Forty-seven patients had UKT, and 40 patients received transplants from the same deceased donors. Mean follow-up of patients after transplantation was 18 12 months. Eight patients with UKT and 4 patients in the control group lost their grafts. At follow-up, 7 patients died in the UKT group, and 4 patients died in the control group. Patient survival in the UKT group was 90% at 1 year and 83% at 2 years, and in the control group was 93% at 1 year and 84% at 2 years (P = .384). Graft survival was 87% at 1 year and 81% at 2 years in UKT, and 91% at both 1 and 2 years in the control group (P = .260). Conclusions. Although patients with UKT showed lower graft and patient survivals than the control group, the difference was statistically nonsignificant. UKT can be an obligatory treatment model for patients with lack of vascular or peritoneal access for dialysis.en_US
dc.identifier.doi10.1016/j.transproceed.2015.04.034en_US
dc.identifier.endpage1272en_US
dc.identifier.issn0041-1345
dc.identifier.issn1873-2623
dc.identifier.issue5en_US
dc.identifier.pmid26093696en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage1269en_US
dc.identifier.urihttps://doi.org/10.1016/j.transproceed.2015.04.034
dc.identifier.urihttps://hdl.handle.net/11454/50414
dc.identifier.volume47en_US
dc.identifier.wosWOS:000357066800007en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Science Incen_US
dc.relation.ispartofTransplantation Proceedingsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.titleUrgency Priority in Kidney Transplantation: Experience in Turkeyen_US
dc.typeArticleen_US

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