Management of patients on the waiting list for deceased donor kidney transplantation
- Authors
- Kim M.G.; Ro H.; Kim Y.J.; Park H.C.; Jeong J.C.; Jeon H.J.; Kim H.; Park M.W.; Oh K.-H.; Kim Y.S.; Ahn C.; Yang J.
- Issue Date
- Jan-2012
- Keywords
- Deceased donor kidney transplantation; waiting list
- Citation
- Transplantation Proceedings, v.44, no.1, pp 66 - 71
- Pages
- 6
- Indexed
- SCI
SCIE
SCOPUS
- Journal Title
- Transplantation Proceedings
- Volume
- 44
- Number
- 1
- Start Page
- 66
- End Page
- 71
- URI
- https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/12708
- DOI
- 10.1016/j.transproceed.2011.12.020
- ISSN
- 0041-1345
1873-2623
- Abstract
- Background: Although the number of wait-listed patients for deceased donor kidney transplantation has been continuously increasing in Korea, no standard guidelines exist for their management. Methods: We retrospectively analyzed the medical records of our 1,231 wait-listed patients between 2000 and 2010. Results: The time to transplantation of the 201 recipients was 51.9 ± 31.2 months. Ninety-seven patients died while waiting. Diabetic or older patients have increased among new registrants; however, <50% of them have undergone regular screening for malignancy or cardiovascular diseases. Patients with regular screening were more likely to get a chance to receive a transplant (P =.016). Malignancy was newly diagnosed in 26 patients (2.1%) and reversible cardiac ischemia was detected in 9.7%. The presence of anti-HLA antibodies was strongly associated with a lower transplantation rate, whereas blood type O was not. Although use of expanded criteria donor (ECD) kidneys increased, many patients avoided them. Conclusion: It is necessary to improve management programs for wait-listed patients by establishing comorbidity screening and ECD education. © 2012 Published by Elsevier Inc.
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Collections - 2. Clinical Science > Department of Nephrology and Hypertension > 1. Journal Articles
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