Link to the University of Pittsburgh Homepage
Link to the University Library System Homepage Link to the Contact Us Form
D-Scholarship @ Pitt Banner and Links to Homepage

Cadaveric renal transplantation at the University of Pittsburgh: a two and one-half-year experience with the point system.

Shapiro, R and Tzakis, AG and Hakala, TR and Lopatin, W and Mitchell, S and Koneru, B and Stieber, A and Gordon, RD and Starzl, TE (1988) Cadaveric renal transplantation at the University of Pittsburgh: a two and one-half-year experience with the point system. Clinical transplants. 181 - 187. ISSN 0890-9016

[img]
Preview
 PDF
Accepted Version
Available under License : See the attached license file.
Download (1MB) | Preview
[img] Plain Text (licence)
Available under License : See the attached license file.
Download (1kB)

Abstract

From January 1, 1986 to July 30, 1988, 530 consecutive cadaver kidney transplantations were performed with patient selection by a point system that took into account time awaiting an organ, donor-recipient matching, degree of presensitization, and some less important factors. The effect of the system was to diminish judgmental factors in case selection which in the past, had probably operated to the disadvantage of "undesirable" potential recipients, including older ones. Primary 1-year graft survival (74%) and graft survival after retransplantation (71%) were lower than in the earlier time. However, the results with triple-drug therapy using CsA, AZA and P demonstrated 88% 1-year graft survival for primary graft recipients and 74% in highly sensitized patients, with comparable patient mortality. These latter observations provide some assurance that the concepts of equitable access and efficient utilization of a scarce resource are not mutually exclusive.

Share

Citation/Export:
Social Networking:
Share |

Details

Item Type: Article
Status: Published
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Shapiro, R
Tzakis, AG
Hakala, TR
Lopatin, W
Mitchell, S
Koneru, B
Stieber, A
Gordon, RD
Starzl, TEtes11@pitt.eduTES11
Centers: Other Centers, Institutes, Offices, or Units > Thomas E. Starzl Transplantation Institute
Date: 1 January 1988
Date Type: Publication
Journal or Publication Title: Clinical transplants
Page Range: 181 - 187
Institution: University of Pittsburgh
Refereed: Yes
ISSN: 0890-9016
Other ID: uls-drl:31735062130699, Starzl CV No. 919
PubMed ID: 3154471
Date Deposited: 08 Apr 2010 17:15
Last Modified: 16 Feb 2019 13:55
URI: http://d-scholarship.pitt.edu/id/eprint/4305

Metrics

Monthly Views for the past 3 years

Plum Analytics

Actions (login required)

View Item View Item