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KMID : 0359920070260010094
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Korean Journal of Nephrology
2007 Volume.26 No. 1 p.94 ~ p.101
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Short-term Outcome for Korean Recipients Undergoing Cadaveric Kidney Transplantation in China
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Cha Ran-Hui
Kim Sun-Moon
Kim Hyo-Sang
Jang Hye-Ryoun
Lee Tae-Woo
Oh Kook-Hwan
Ahn Curie
Han Jin-Suk
Kim Suhng-Gwon
Kim Yon-Su
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Abstract
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Purpose: Number of patients expecting for kidney transplantation and transplantations in foreign countries are rapidly increasing. However, there was a lack of information about clinical progresses and outcomes of kidney recipients, underwent cadaveric kidneytransplantation in China.
Methods: We included 44 patients (China group), received cadaveric kidney transplantation in China and have been managed at our institute from Jan 2002 to Jan 2006 and 33 patients (domestic group), received cadaveric kidney transplantation at our institute from Feb 2000 to Jan 2006. We performed retrospective study based on medical records.
Results: Duration of pre-transplantation renal replacement therapy and of post-transplantation follow up was longer in domestic group (China group vs. domestic group; 89.9 months vs. 24.6 months, 31.9 months vs. 13.9 months) (p<0.05, p<0.05). Final GFR of China group was lower than domestic group (China group vs. domestic group; 54.97±18.92 mL/min vs. 64.26±18.23 mL/min) (p<0.05). Infection and rejection rates of China group were higher than domestic group (Incidences/ Pantients *Yr./1000; China group vs. domestic group; infection; 2.05 vs. 0.76, rejection; 1.34 vs. 0.51) (p<0.05). There was no difference of patient and graft survival between two groups.
Conclusion: Korean recipients of Chinese cadaveric kidneys showed lower final GFR and higher rates of infection and rejection. We should be aware of the possible rejections and complications of kidney recipients undergoing cadaveric kidney transplantation in China. Mutual exchange of information about current status of patients, transplantation indications, donor status and treatment protocols is needed between foreign transplantation centers and our medical centers.
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KEYWORD
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Kidney transplantation, China, Complications
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