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Does kidney transplantation with a standard or expanded criteria donor improve patient survival? Results from a Belgian cohort.


ABSTRACT:

Background

Changes in recipient and donor factors have reopened the question of survival benefits of kidney transplantation versus dialysis.

Methods

We analysed survival among 3808 adult Belgian patients waitlisted for a first deceased donor kidney transplant from 2000 to 2012. The primary outcome was mortality during the median waiting time plus 3 years of follow-up after transplantation or with continued dialysis. Outcomes were analysed separately for standard criteria donor (SCD) and expanded criteria donor (ECD) kidney transplants. We adjusted survival analyses for recipient age (20-44, 45-64 and ≥65 years), sex and diabetes as the primary renal disease.

Results

Among patients ≥65 years of age, only SCD transplantation provided a significant survival benefit compa

SUBMITTER: Hellemans R 

PROVIDER: S-EPMC8075371 | biostudies-literature | 2021 Apr

REPOSITORIES: biostudies-literature