A multifactorial system for equitable selection of cadaver kidney recipients.
نویسندگان
چکیده
During 1986, a total of 270 cadaver renal transplantations were performed at the University of Pittsburgh. Kidneys were allocated by a point system that awarded points to recipients for waiting time, antigen matching, antibody analyses, medical urgency, and logistic practicality. Kidneys were given to patients with the highest point totals in 98% of cases. To our knowledge, this is the first such multifactorial system for cadaver kidney allocation. Possibly it may be modified for extrarenal organs.
منابع مشابه
In Cadaver kidney Recipients, Autologous Bone Marrow Stem Cell Transplantation Significantly Improve Graft Function, Short-term Outcome
Background: Renal transplantation is the best choose in the end stage renal disease (ESRD), and acute rejection and graft dysfunction remain major challenges in the worldwide, even with the advent of new immunosuppressive drugs. The novel cell-based anti-rejection treatments have been studied by using different stem cell sources. In this study, transplantation of autologous-bone-marrow-derive...
متن کاملSurvival rate of recipients of kidney transplantation from Cadaver donors in Tabriz transplant patients in Imam Reza Hospital during the last 5 years
Introduction: Determining the efficacy of this procedure and determining the survival rate of patients after transplant surgery and determining the role of some factors in this survival is important. Therefore, the aim of this study was to evaluate the prevalence of cadaveric donor kidney transplant recipients in transplant patients of Imam Reza Hospital in Tabriz during the last 5 years. Mate...
متن کاململاحظات اخلاقی
Background: Kidney transplantation is one of the major progresses of medical science with many ethical debates. The shortage of organs and the increases in waiting list for cadaver transplantation has leaded to transplantation from living donors. In this article, we discuss the ethics of transplantation from living kidney donors. Methods: For compiling this article, we searched in Pubmed and...
متن کاملSuperiority of B locus matching over other HLA matching in renal graft survival.
Graft survival after 348 consecutive first cadaver-donor renal transplants was significantly improved by HLA matching when recipients who had received pretransplant blood transfusions were matched with their kidney donor for two HLA-B locus antigens. No other type of HLA matching significantly improved graft survival in transfused recipients nor did any type of HLA matching in non-transfused re...
متن کاملپیشبینی بقای پنج ساله پیوند کلیه با استفاده از مدل شبکه عصبی مصنوعی: گزارش 22 سال پیگیری از 316 بیمار در اصفهان
Background: Kidney transplantation had been evaluated in some researches in Iran mainly with clinical approach. In this research we evaluated graft survival in kidney recipients and factors impacting on survival rate. Artificial neural networks have a good ability in modeling complex relationships, so we used this ability to demonstrate a model for prediction of 5yr graft survival after ki...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- JAMA
دوره 257 22 شماره
صفحات -
تاریخ انتشار 1987