Five years renal transplantation data: Single-center experience from Iraq
Renal transplantation is the treatment of choice for patients with end-stage renal disease. In Iraq, renal transplantation started in 1973 and has continued until now with live donor transplantation, since deceased donor transplant program is not approved as yet. Long-term transplant data are still...
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Wolters Kluwer Medknow Publications
2016-01-01
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Series: | Saudi Journal of Kidney Diseases and Transplantation |
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doaj-8b7ca2d20996437faaf14baf9d37c11f2020-11-24T21:08:39ZengWolters Kluwer Medknow PublicationsSaudi Journal of Kidney Diseases and Transplantation1319-24422016-01-0127234134710.4103/1319-2442.178559Five years renal transplantation data: Single-center experience from IraqAla A AliAli J Al-SaediAli J Al-MudhafferKais H Al-TaeeRenal transplantation is the treatment of choice for patients with end-stage renal disease. In Iraq, renal transplantation started in 1973 and has continued until now with live donor transplantation, since deceased donor transplant program is not approved as yet. Long-term transplant data are still scarce. The aim of our study is to present data on transplantation and medical follow-up at one year and, survival analysis at one, three and five years. A total of 250 renal transplantations were performed at the Nephrology and Renal Transplantation Center, Baghdad between January 2009 and January 2014. It is a living donor, blood group compatible donor program. All patients received triple immunosuppression (calcineurine inhibitor, mycophenolate mofetil or mycophenolic acid, and steroid). The Kaplan-Meier method was used to determine the survival rate. There were 92 live related donors, 143 unrelated donors, and 15 spouse donors. The mean age was 34.07 ± 12.2 years. The one-year graft survival for related and unrelated donor transplants was 98.9% and 91.8%, respectively. Graft survival was lower (82.9%) in recipients with acute rejection episodes. The patient survival at one-year was 94%. The three-year graft and patient survival was 91% and 90%, respectively, and five-year survival for grafts and patients was 87.1% and 88%, respectively. The outcome of the renal transplantation in Iraq is improving. Long-term patient follow-up needs more meticulous attention. The development of renal transplant registry is critical for future planning. Moreover, renal transplantation practice in Iraq needs more social, religious, and governmental support.http://www.sjkdt.org/article.asp?issn=1319-2442;year=2016;volume=27;issue=2;spage=341;epage=347;aulast=Ali |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Ala A Ali Ali J Al-Saedi Ali J Al-Mudhaffer Kais H Al-Taee |
spellingShingle |
Ala A Ali Ali J Al-Saedi Ali J Al-Mudhaffer Kais H Al-Taee Five years renal transplantation data: Single-center experience from Iraq Saudi Journal of Kidney Diseases and Transplantation |
author_facet |
Ala A Ali Ali J Al-Saedi Ali J Al-Mudhaffer Kais H Al-Taee |
author_sort |
Ala A Ali |
title |
Five years renal transplantation data: Single-center experience from Iraq |
title_short |
Five years renal transplantation data: Single-center experience from Iraq |
title_full |
Five years renal transplantation data: Single-center experience from Iraq |
title_fullStr |
Five years renal transplantation data: Single-center experience from Iraq |
title_full_unstemmed |
Five years renal transplantation data: Single-center experience from Iraq |
title_sort |
five years renal transplantation data: single-center experience from iraq |
publisher |
Wolters Kluwer Medknow Publications |
series |
Saudi Journal of Kidney Diseases and Transplantation |
issn |
1319-2442 |
publishDate |
2016-01-01 |
description |
Renal transplantation is the treatment of choice for patients with end-stage renal disease. In Iraq, renal transplantation started in 1973 and has continued until now with live donor transplantation, since deceased donor transplant program is not approved as yet. Long-term transplant data are still scarce. The aim of our study is to present data on transplantation and medical follow-up at one year and, survival analysis at one, three and five years. A total of 250 renal transplantations were performed at the Nephrology and Renal Transplantation Center, Baghdad between January 2009 and January 2014. It is a living donor, blood group compatible donor program. All patients received triple immunosuppression (calcineurine inhibitor, mycophenolate mofetil or mycophenolic acid, and steroid). The Kaplan-Meier method was used to determine the survival rate. There were 92 live related donors, 143 unrelated donors, and 15 spouse donors. The mean age was 34.07 ± 12.2 years. The one-year graft survival for related and unrelated donor transplants was 98.9% and 91.8%, respectively. Graft survival was lower (82.9%) in recipients with acute rejection episodes. The patient survival at one-year was 94%. The three-year graft and patient survival was 91% and 90%, respectively, and five-year survival for grafts and patients was 87.1% and 88%, respectively. The outcome of the renal transplantation in Iraq is improving. Long-term patient follow-up needs more meticulous attention. The development of renal transplant registry is critical for future planning. Moreover, renal transplantation practice in Iraq needs more social, religious, and governmental support. |
url |
http://www.sjkdt.org/article.asp?issn=1319-2442;year=2016;volume=27;issue=2;spage=341;epage=347;aulast=Ali |
work_keys_str_mv |
AT alaaali fiveyearsrenaltransplantationdatasinglecenterexperiencefromiraq AT alijalsaedi fiveyearsrenaltransplantationdatasinglecenterexperiencefromiraq AT alijalmudhaffer fiveyearsrenaltransplantationdatasinglecenterexperiencefromiraq AT kaishaltaee fiveyearsrenaltransplantationdatasinglecenterexperiencefromiraq |
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