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25 years of kidney transplantation in Hawaii
A H Cheung1, M S Wheeler, F L Fan
1Department of Surgery, John A. Bums School of Medicine, University of Hawaii, Honolulu.
Hawaii Medical Journal
|March 1, 1994
Insights
Hawaii
Area of Science:
- Nephrology
- Transplant Surgery
Background:
- The first kidney transplant in Hawaii occurred in August 1969.
- Over 433 kidney transplants were performed in the subsequent 25 years.
- Chronic glomerulonephritis was the primary reason for transplantation.
Purpose of the Study:
- To review kidney transplant outcomes in Hawaii.
- To assess the impact of cyclosporine on survival rates.
Main Methods:
- Retrospective analysis of kidney transplant data from Hawaii.
- Comparison of survival rates before and after cyclosporine introduction.
Main Results:
- Patient and graft survival rates have significantly improved.
- Introduction of cyclosporine in 1984 correlated with enhanced outcomes.
- Current one-year patient survival is 96%, and graft survival is 85%.
Conclusions:
- Hawaii's kidney transplant program demonstrates excellent patient and graft survival.
- Outcomes in Hawaii surpass national averages, indicating successful transplant care.
Abstract:
The first kidney transplant in Hawaii was performed in August 1969. In the following 25 years, more than 433 kidney transplants were performed. The most common etiology leading to transplantation was chronic glomerulonephritis. Patient and graft survivals after a kidney transplant have progressively improved, particularly after the introduction of cyclosporine in 1984. The overall one-year patient and graft survival rates now are 96% and 85%, respectively; these results exceed the national averages.