Impact of adjusted kidney volume measured in the bench surgery on one-year renal function in kidney transplantation

PLoS One. 2019 Nov 4;14(11):e0224364. doi: 10.1371/journal.pone.0224364. eCollection 2019.

Abstract

Background: Kidney transplantation is the treatment of choice in patient with end stage chronic kidney disease, offering the best long term survival and greater Quality of Life in this group of patients. Graft volume was correlated with improved renal function in living donor transplantations. The primary aim of this study was to correlate renal volume adjusted to body surface area with renal function one year (estimated glomerular filtration rate; eGFR) after kidney transplantation.

Methods: This single-center, prospective cohort study included 256 patients who underwent kidney transplantation from January 2011 through December 2015 at Hospital das Clínicas de Botucatu-UNESP. We evaluated three kidney measurements during the bench surgery; the final graft volume was calculated using the ellipsoid formula and adjusted to body surface area.

Results: In the living donors there was positive correlation between adjusted graft volume and eGFR (r = 0.311, p = 0.008). Multivariate analysis revealed that low rejection rate and increased adjusted graft volume were independent factors correlated with eGFR. In deceased donors, there was no correlation between adjusted kidney volume and eGFR (r = 0.08, p = 0.279) in univariate analysis, but a multivariate analysis indicated that lower kidney donor profile index (KDPI), absence of rejection and high adjusted kidney volume were independent factors for better eGFR.

Conclusion: Adjusted kidney volume was positively correlated with a satisfactory eGFR at one year after living donor and deceased donor transplantations.

MeSH terms

  • Adult
  • Allografts / anatomy & histology*
  • Allografts / physiopathology
  • Body Surface Area
  • Female
  • Follow-Up Studies
  • Glomerular Filtration Rate / physiology*
  • Graft Rejection / epidemiology
  • Graft Rejection / etiology
  • Graft Rejection / physiopathology
  • Graft Survival
  • Humans
  • Kidney / anatomy & histology*
  • Kidney / physiopathology
  • Kidney Failure, Chronic / surgery*
  • Kidney Transplantation / adverse effects
  • Kidney Transplantation / methods*
  • Living Donors
  • Male
  • Middle Aged
  • Organ Size
  • Prospective Studies
  • Quality of Life
  • Treatment Outcome

Grant support

The author(s) received no specific funding for this work.