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Small center kidney transplantation.

G E Brannen, R J Correa, R P Gibbons

    The Journal of Urology
    |December 1, 1983
    PubMed
    Summary
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    This study reports on the first 100 kidney transplants, showing strong patient and graft survival rates for living related and cadaveric kidney transplants. These outcomes suggest small transplant centers can achieve high-quality kidney transplantation.

    Area of Science:

    • Nephrology
    • Transplant Surgery
    • Medical Outcomes Research

    Background:

    • Kidney transplantation is a vital treatment for end-stage renal disease.
    • Assessing outcomes in early transplant programs is crucial for establishing best practices.
    • Comparing results to established national standards provides valuable benchmarks.

    Purpose of the Study:

    • To evaluate the initial outcomes of the first 100 kidney transplants performed at a new center.
    • To compare these outcomes against established benchmarks from the American Society of Transplant Surgeons.
    • To analyze patient and graft survival, hospitalization, costs, and complications.

    Main Methods:

    • Retrospective analysis of the first 100 kidney transplant cases.
    • Calculation of 1-year patient and graft survival rates for living related and cadaveric donors.

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  • Tracking of hospitalization duration, associated costs, and post-transplant complications within the first year.

    • Main Results:

    • One-year graft survival: 74% (living related) and 57% (cadaveric).
    • One-year patient survival: 94% (living related) and 85% (cadaveric).
    • Average first-year costs: $29,572; 22 complications occurred, 11 requiring surgery.

    Conclusions:

    • The transplant center achieved patient and graft survival rates comparable to national standards.
    • These findings indicate that high-quality kidney transplantation is feasible in smaller transplant centers.
    • Further analysis of complications and long-term outcomes is warranted.