[Critical review of renal transplantation data from the Piedmontese Regional Dialysis and Transplantation Registry]

Minerva Urol Nefrol. 1998 Mar;50(1):81-6.
[Article in Italian]

Abstract

On 31/12/1995 a total of 1,128 Piedmontese uremic patients had undergone kidney transplantation, with 65% of operations performed by the Regional Reference Centre and 35% by extra-regional centres. Waiting time for dialysis was less than 5 years in over half of the patients most of whom were aged between 40 and 60 years old. In overall terms, the patient survival rate was 94%, 87%, 75% at 24, 60, 120 months respectively, with a statistically significant improvement when the curve was evaluated in the patient-pool treated with cyclosporine (84% versus 87% at 7 years). Organ survival was 76% at 21 years and 42% at 10 years, and results were again improved by the use of cyclosporine. Pathologies affecting the transplanted organ represent the main cause of morbidity; drop-out during dialysis is caused above all by immunological diseases. Infectious pathologies were responsible for the majority of deaths in this population.

MeSH terms

  • Adolescent
  • Adult
  • Cardiovascular Diseases / mortality
  • Cause of Death
  • Child
  • Child, Preschool
  • Cyclosporine / therapeutic use
  • Drug Utilization / statistics & numerical data
  • Female
  • Humans
  • Immunosuppressive Agents / therapeutic use
  • Infant
  • Infections / mortality
  • Italy / epidemiology
  • Kidney Failure, Chronic / mortality
  • Kidney Failure, Chronic / surgery*
  • Kidney Transplantation / mortality
  • Kidney Transplantation / statistics & numerical data*
  • Male
  • Middle Aged
  • Neoplasms / mortality
  • Registries / statistics & numerical data*
  • Reoperation
  • Survival Analysis

Substances

  • Immunosuppressive Agents
  • Cyclosporine