BERGSTRALH, EJ, CG MONICO, JC LIESKE, RM HERGES, CB LANGMAN, B HOPPE a DS MILLINER. Transplantation outcomes in primary hyperoxaluria. American Journal of Transplantattion. Atlanta: Wiley-Blackwell, 2010, roč. 10, č. 11, s. 2493-2501. ISSN 1600-6135.
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Základní údaje
Originální název Transplantation outcomes in primary hyperoxaluria
Název česky Výsledky transplantace u primární hyperoxalurie
Autoři BERGSTRALH, EJ, CG MONICO, JC LIESKE, RM HERGES, CB LANGMAN, B HOPPE a DS MILLINER.
Vydání American Journal of Transplantattion, Atlanta, Wiley-Blackwell, 2010, 1600-6135.
Další údaje
Originální jazyk angličtina
Typ výsledku Článek v odborném periodiku
Obor 30209 Paediatrics
Stát vydavatele Spojené státy
Utajení není předmětem státního či obchodního tajemství
Impakt faktor Impact factor: 6.051
Organizační jednotka Lékařská fakulta
UT WoS 000283595700015
Klíčová slova česky primární hyperoxalurie transplantace diagnostika
Klíčová slova anglicky primary hyperoxaluria transplantation diagnose
Změnil Změnil: prof. MUDr. Zdeněk Doležel, CSc., učo 2360. Změněno: 17. 1. 2011 13:07.
Anotace
Optimal transplantation strategies are uncertain in primary hyperoxaluria (PH) due to potential for recurrent oxalosis. Outcomes of different transplantation approaches were compared using life-table methods to determine kidney graft survival among 203 patients in the International Primary Hyperoxaluria Registry. From 1976-2009, 84 kidney alone (K) and combined kidney and liver (K + L) transplants were performed in 58 patients. Among 58 first kidney transplants (32 K, 26 K + L), 1-, 3- and 5-year kidney graft survival was 82%, 68% and 49%. Renal graft loss occurred in 26 first transplants due to oxalosis in ten, chronic allograft nephropathy in six, rejection in five and other causes in five. Delay in PH diagnosis until after transplant favored early graft loss (p = 0.07). K + L had better kidney graft outcomes than K with death-censored graft survival 95% versus 56% at 3 years (p = 0.011). Among 29 year 2000-09 first transplants (24 K + L), 84% were functioning at 3 years compared to 55% of earlier transplants (p = 0.05). At 6.8 years after transplantation, 46 of 58 patients are living (43 with functioning grafts). Outcomes of transplantation in PH have improved over time, with recent K + L transplantation highly successful. Recurrent oxalosis accounted for a minority of kidney graft losses. Optimal transplantation strategies are uncertain in primary hyperoxaluria (PH) due to potential for recurrent oxalosis. Outcomes of different transplantation approaches were compared using life-table methods to determine kidney graft survival among 203 patients in the International Primary Hyperoxaluria Registry. From 1976-2009, 84 kidney alone (K) and combined kidney and liver (K + L) transplants were performed in 58 patients. Among 58 first kidney transplants (32 K, 26 K + L), 1-, 3- and 5-year kidney graft survival was 82%, 68% and 49%. Renal graft loss occurred in 26 first transplants due to oxalosis in ten, chronic allograft nephropathy in six, rejection in five and other causes in five. Delay in PH diagnosis until after transplant favored early graft loss (p = 0.07). K + L had better kidney graft outcomes than K with death-censored graft survival 95% versus 56% at 3 years (p = 0.011). Among 29 year 2000-09 first transplants (24 K + L), 84% were functioning at 3 years compared to 55% of earlier transplants (p = 0.05). At 6.8 years after transplantation, 46 of 58 patients are living (43 with functioning grafts). Outcomes of transplantation in PH have improved over time, with recent K + L transplantation highly successful. Recurrent oxalosis accounted for a minority of kidney graft losses. Impact Factor 6.433
Anotace česky
Výsledek/publikace vznikla na základě účasti Z. Doležela v projektu International Primary Hyperoxaluria Registry; projekt měl hlavní řešitele v USA /granty č. DK73354/DK/NIDDK NIH HHS a U54KDO83908/PHS HHS/. IF časopisu je 6.433
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