Journal
NEPHROLOGY
Volume 11, Issue 1, Pages 73-77Publisher
WILEY
DOI: 10.1111/j.1440-1797.2006.00525.x
Keywords
graft and patient survival; locally transplanted; renal allograft; shipping
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Background: The national sharing of well-matched cadaveric renal allografts has been established since 1992 in Australia. It remains uncertain whether the shipment of renal allografts interstate has a detrimental effect on graft and patient survival. Methods: Using data collected by the Australia and New Zealand Dialysis and Transplant Registry (ANZDATA), graft and patient survival were compared between shipped (n = 623) and locally transplanted allografts (n = 894) in Australia between January 1992 and December 2001. Results: Shipped renal allografts were from younger donors and had a longer ischaemic time, and were transplanted into higher risk recipients. Shipping of allografts had no effect on graft or patient survival, acute rejection at 6 months, presence of delayed graft function and serum creatinine at 6 and 12 months. In addition, human leucocyte antigen-matching and allograft ischaemic time had no effect on graft or patient survival. Conclusion: Recipients of either shipped or locally transplanted well-matched renal allografts have similar graft and patient survivals.
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