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A microcomputer-based transplantation registry

M S Anção1, R Sesso, S A Draibe

  • 1Department of Medicine, Escola Paulista de Medicina, São Paulo, Brazil.

M.D. Computing : Computers in Medical Practice
|March 1, 1996
PubMed
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A new program for the Brazilian Kidney Transplant Registry analyzes kidney transplant data, showing improved patient and graft survival rates. This system facilitates online life table and survival curve construction for better data management.

Area of Science:

  • Nephrology
  • Transplant Surgery
  • Biostatistics

Background:

  • The Brazilian Kidney Transplant Registry collects vital data on kidney transplant procedures.
  • Effective data analysis tools are crucial for monitoring transplant outcomes and trends.

Purpose of the Study:

  • To introduce a microcomputer-based program for the Brazilian Kidney Transplant Registry.
  • To enable online construction of life tables and survival curves for kidney transplant data.
  • To analyze kidney transplant activity and patient demographics in Brazil from 1987 to 1993.

Main Methods:

  • Development of a microcomputer-based program for direct database analysis.
  • Utilization of the program to generate life tables and survival curves.
  • Statistical analysis of 6069 reported kidney transplants between 1987 and 1993.

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Main Results:

  • The proportion of cadaveric kidney transplants increased significantly from 28.5% in 1987 to 58.1% in 1993.
  • Overall kidney transplantation activity reached 8.1 patients per million population per year.
  • The majority of recipients were male (64%) and white (71%), with a mean age of 33.4 years.
  • Glomerulonephritis (43.6%) and hypertensive renal disease (13.6%) were the leading primary renal diseases.
  • Patient and graft survival rates demonstrated improvement in recent years.

Conclusions:

  • The developed program enhances the analysis capabilities of the Brazilian Kidney Transplant Registry.
  • Increasing cadaveric organ procurement is expected to improve transplant numbers and organ distribution equity.
  • Continued development of organ procurement programs is vital for the future of kidney transplantation in Brazil.