Short-Term and Long-Term Outcomes of Kidney Transplantation in Diabetic and Nondiabetic Patients
<p class="MsoNormal" style="margin: 14pt 0cm;"><span style="font-size: small;"><span style="font-family: Times New Roman;"><strong><span style="mso-bidi-language: FA;">Introduction:</span></strong><span st...
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Urology and Nephrology Research Center, Shahid Beheshti University of Medical Sciences
2005-04-01
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doaj-037294fb8be3421faa07723422f975fa2020-11-25T01:44:01ZengUrology and Nephrology Research Center, Shahid Beheshti University of Medical SciencesUrology Journal1735-13081735-546X2005-04-0124197200Short-Term and Long-Term Outcomes of Kidney Transplantation in Diabetic and Nondiabetic PatientsHajieh ShahbazianHeshmatollah Shahbazian<p class="MsoNormal" style="margin: 14pt 0cm;"><span style="font-size: small;"><span style="font-family: Times New Roman;"><strong><span style="mso-bidi-language: FA;">Introduction:</span></strong><span style="mso-bidi-language: FA;"> The purpose of this study was to compare the short-term and long-term kidney transplant outcomes in diabetic and nondiabetic patients.</span></span></span></p><p class="MsoNormal" style="margin: 14pt 0cm;"><span style="font-size: small;"><span style="font-family: Times New Roman;"><strong><span style="mso-bidi-language: FA;">Materials and Methods: </span></strong><span style="mso-bidi-language: FA;">We studied all kidney recipients in Golestan hospital, Ahwaz, from 1995 to 2003. The patients were divided into two groups of diabetic and nondiabetic, and 1-year, 2-year, and 5-year survival rates of the patient and the kidney were evaluated. We also evaluated and compared the causes of death between these two groups.</span></span></span></p><p class="MsoNormal" style="margin: 14pt 0cm;"><span style="font-size: small;"><span style="font-family: Times New Roman;"><strong><span style="mso-bidi-language: FA;">Results: </span></strong><span style="mso-bidi-language: FA;">There were 50 diabetic patients with a mean age of 51 years, and 350 nondiabetic patients with the mean age of 29 years old (<em>P</em> = .03). One-year, 2-year, and 5-year graft survival rates were 90% versus 91.5%, 86% versus 89%, and 76% versus 83% in diabetic and nondiabetic patients, respectively (<em>P</em> = .19). The patient survival rates were 92% versus 93%, 88% versus 91%, and 76% versus 84% in diabetic and nondiabetic patients, respectively. The most common cause of death was myocardial infarction in diabetic patients (50%), and septicemia among the nondiabetic ones (50%). The most common cause of kidney allograft loss was patient's death (75%) in diabetic patients and kidney rejection (40%) in nondiabetics.</span></span></span></p><p class="MsoNormal" style="margin: 14pt 0cm;"><span style="font-size: small;"><span style="font-family: Times New Roman;"><strong><span style="mso-bidi-language: FA;">Conclusion: </span></strong><span style="mso-bidi-language: FA;">Long-term kidney transplantation results have been significantly improved comparing with other studies. Thus, kidney transplantation is recommended as the<span style="mso-spacerun: yes;"> </span>treatment of choice in diabetic patients with end-stage renal disease. However, a complete evaluation of cardiac problems for these patients is recommended before the surgery.</span></span></span></p> http://www.urologyjournal.org/index.php/uj/article/view/224/221 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Hajieh Shahbazian Heshmatollah Shahbazian |
spellingShingle |
Hajieh Shahbazian Heshmatollah Shahbazian Short-Term and Long-Term Outcomes of Kidney Transplantation in Diabetic and Nondiabetic Patients Urology Journal |
author_facet |
Hajieh Shahbazian Heshmatollah Shahbazian |
author_sort |
Hajieh Shahbazian |
title |
Short-Term and Long-Term Outcomes of Kidney Transplantation in Diabetic and Nondiabetic Patients |
title_short |
Short-Term and Long-Term Outcomes of Kidney Transplantation in Diabetic and Nondiabetic Patients |
title_full |
Short-Term and Long-Term Outcomes of Kidney Transplantation in Diabetic and Nondiabetic Patients |
title_fullStr |
Short-Term and Long-Term Outcomes of Kidney Transplantation in Diabetic and Nondiabetic Patients |
title_full_unstemmed |
Short-Term and Long-Term Outcomes of Kidney Transplantation in Diabetic and Nondiabetic Patients |
title_sort |
short-term and long-term outcomes of kidney transplantation in diabetic and nondiabetic patients |
publisher |
Urology and Nephrology Research Center, Shahid Beheshti University of Medical Sciences |
series |
Urology Journal |
issn |
1735-1308 1735-546X |
publishDate |
2005-04-01 |
description |
<p class="MsoNormal" style="margin: 14pt 0cm;"><span style="font-size: small;"><span style="font-family: Times New Roman;"><strong><span style="mso-bidi-language: FA;">Introduction:</span></strong><span style="mso-bidi-language: FA;"> The purpose of this study was to compare the short-term and long-term kidney transplant outcomes in diabetic and nondiabetic patients.</span></span></span></p><p class="MsoNormal" style="margin: 14pt 0cm;"><span style="font-size: small;"><span style="font-family: Times New Roman;"><strong><span style="mso-bidi-language: FA;">Materials and Methods: </span></strong><span style="mso-bidi-language: FA;">We studied all kidney recipients in Golestan hospital, Ahwaz, from 1995 to 2003. The patients were divided into two groups of diabetic and nondiabetic, and 1-year, 2-year, and 5-year survival rates of the patient and the kidney were evaluated. We also evaluated and compared the causes of death between these two groups.</span></span></span></p><p class="MsoNormal" style="margin: 14pt 0cm;"><span style="font-size: small;"><span style="font-family: Times New Roman;"><strong><span style="mso-bidi-language: FA;">Results: </span></strong><span style="mso-bidi-language: FA;">There were 50 diabetic patients with a mean age of 51 years, and 350 nondiabetic patients with the mean age of 29 years old (<em>P</em> = .03). One-year, 2-year, and 5-year graft survival rates were 90% versus 91.5%, 86% versus 89%, and 76% versus 83% in diabetic and nondiabetic patients, respectively (<em>P</em> = .19). The patient survival rates were 92% versus 93%, 88% versus 91%, and 76% versus 84% in diabetic and nondiabetic patients, respectively. The most common cause of death was myocardial infarction in diabetic patients (50%), and septicemia among the nondiabetic ones (50%). The most common cause of kidney allograft loss was patient's death (75%) in diabetic patients and kidney rejection (40%) in nondiabetics.</span></span></span></p><p class="MsoNormal" style="margin: 14pt 0cm;"><span style="font-size: small;"><span style="font-family: Times New Roman;"><strong><span style="mso-bidi-language: FA;">Conclusion: </span></strong><span style="mso-bidi-language: FA;">Long-term kidney transplantation results have been significantly improved comparing with other studies. Thus, kidney transplantation is recommended as the<span style="mso-spacerun: yes;"> </span>treatment of choice in diabetic patients with end-stage renal disease. However, a complete evaluation of cardiac problems for these patients is recommended before the surgery.</span></span></span></p> |
url |
http://www.urologyjournal.org/index.php/uj/article/view/224/221 |
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