Duration of end-stage renal disease and kidney transplant outcome

Goldfarb-Rumyantzev, Alex; Hurdle, John F.; Scandling, John D.; Wang, Zhi; Baird, Bradley C.; Barenbaum, Lev L.; Cheung, Alfred K.

doi:10.1093/ndt/gfh541

Cited by 189 publications

(124 citation statements)

References 15 publications

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“…Furthermore, prolonged dialysis before transplant appears to have a detrimental effect on post-transplant outcomes (17)(18)(19). Goldfarb-Rumyantzev et al (17) found a 25% to 46% increase in graft failure for those transplanted after 6 mo to 5 yr of end stage kidney disease and 32% greater risk of death overall for those transplanted after 3 yr of end stage kidney disease. Therefore, it is important to identify factors associated with prolonged time in the process toward kidney transplantation.…”

Section: Discussionmentioning

confidence: 99%

Health Literacy and Access to Kidney Transplantation

Grubbs

Gregorich

Pérez‐Stable

et al. 2009

Clinical Journal of the American Society of Nephrology

164

149

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Background and objectives: Few studies have examined health literacy in patients with end stage kidney disease. We hypothesized that inadequate health literacy in a hemodialysis population is common and is associated with poorer access to kidney transplant wait-lists.Design, setting, participants, & measurements: We enrolled 62 Black and White maintenance hemodialysis patients aged 18 to 75. We measured health literacy using the short form Test of Functional Health Literacy in Adults. Our primary outcomes were (1) time from dialysis start date to referral date for kidney transplant evaluation and (2) time from referral date to date placed on kidney transplant wait-list. We used Cox proportional hazard models to examine the association between health literacy (adequate versus inadequate) and our outcomes after controlling for demographics and co-morbid conditions.Results Conclusions: Inadequate health literacy is common in our hemodialysis patient population and is associated with a lower hazard of referral for transplant evaluation. Strategies to reduce the impact of health literacy on the kidney transplant process should be explored.

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Section: Discussionmentioning

confidence: 99%

Health Literacy and Access to Kidney Transplantation

Grubbs

Gregorich

Pérez‐Stable

et al. 2009

Clinical Journal of the American Society of Nephrology

164

149

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“…Na análise multivariada, a sobrevida dos pacientes foi significantemente distinta entre os três grupos. Goldfarb-Rumyantzev et al 25 concluíram que um tempo prolongado de diálise está associado a resultados insatisfatórios, tanto para o enxerto como para a sobrevida do paciente após TR.…”

Section: Sobrevida E Fatores Associados à Mortalidade Em Receptores Dunclassified

Survival analysis and associated factors to mortality of renal transplant recipients in a University Hospital in Maranhão

Oliveira¹,

Santos²,

Filho³

2012

Jornal Brasileiro De Nefrologia

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40 anos (RR = 6,19; p = 0,001; IC 95% = 2,01-18,99) e intercorrência cirúrgica (RR = 4,98; p = 0,041; IC 95% = 1,07-23,27). CONCLUSÕES: As taxas de sobrevida do receptor de TR no HUUFMA foram semelhantes àquelas encontradas em outros trabalhos, nacionais e internacionais. Idade do receptor acima de 40 anos e intercorrências cirúrgicas foram significantemente associados à mortalidade do paciente neste estudo.]]>

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“…5,9 Because transplants are associated with better long-term survival than dialysis, 10 preemptive transplant may increase survival by reducing dialysis time. Indeed, preemptive transplant has been associated with better patient and allograft survival rates and decreased acute rejection rates, compared with nonpreemptive transplant.…”

Section: Discussionmentioning

confidence: 99%