Live Donor Kidney Transplantation Pearls: A Practical Review

Matter, Yasser Elsayed; Abbas, Tarek M.; Nagib, Ayman Maher; Fouda, Mohammed; Abbas, Mohamed Hamed; Refaie, Ayman Fathi; Denewar, Ahmed Abdelfattah; Elmowafy, Ahmed Yahia; Sheashaa, Hussein

doi:10.15406/unoaj.2017.05.00178

Cited by 1 publication

(1 citation statement)

References 78 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Most cases come from LDKT programs, where it may reach up to 34% in some countries that adopt LDKT programs[ 6 , 9 ]. The latter percentage refers to the fundamental role of LD in the promotion of PKT strategy[ 10 ]. Preemptive access to KT (PAKT) and waitlisting are other effective contributors to PKT.…”

Section: Introductionmentioning

confidence: 99%

Preemptive living donor kidney transplantation: Access, fate, and review of the status in Egypt

Gadelkareem¹,

Abdelgawad²,

Reda³

et al. 2023

World J Nephrol

View full text Add to dashboard Cite

BACKGROUND Preemptive living donor kidney transplantation (PLDKT) is recommended as the optimal treatment for end-stage renal disease. AIM To assess the rate of PLDKT among patients who accessed KT in our center and review the status of PLDKT in Egypt. METHODS We performed a retrospective review of the patients who accessed KT in our center from November 2015 to November 2022. In addition, the PLDKT status in Egypt was reviewed relative to the literature. RESULTS Of the 304 patients who accessed KT, 32 patients (10.5%) had preemptive access to KT (PAKT). The means of age and estimated glomerular filtration rate were 31.7 ± 13 years and 12.8 ± 3.5 mL/min/1.73 m 2 , respectively. Fifty-nine patients had KT, including 3 PLDKTs only (5.1% of total KTs and 9.4% of PAKT). Twenty-nine patients (90.6%) failed to receive PLDKT due to donor unavailability (25%), exclusion (28.6%), regression from donation (3.6%), and patient regression on starting dialysis (39.3%). In multivariate analysis, known primary kidney disease ( P = 0.002), patient age ( P = 0.031) and sex ( P = 0.001) were independent predictors of achievement of KT in our center. However, PAKT was not significantly ( P = 0.065) associated with the achievement of KT. Review of the literature revealed lower rates of PLDKT in Egypt than those in the literature. CONCLUSION Patient age, sex, and primary kidney disease are independent predictors of achieving living donor KT. Despite its non-significant effect, PAKT may enhance the low rates of PLDKT. The main causes of non-achievement of PLDKT were patient regression on starting regular dialysis and donor unavailability or exclusion.

show abstract

Section: Introductionmentioning

confidence: 99%