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Updated: Jul 23, 2026

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TBase - an Integrated Electronic Health Record and Research Database for Kidney Transplant Recipients
Published on: April 13, 2021
[33 years kidney transplantation in Zurich]
F Largiadèr1, M Weber, D Inderbitzin
1Department Chirurgie, Universitätsspital, Zürich.
Summary
This study shows improved renal transplantation outcomes over 33 years, with more elderly and diabetic patients. Strategies like using non-heart-beating donors and living donors addressed graft shortages.
Area of Science:
- Nephrology
- Transplant Surgery
- Immunology
Context:
- Review of 33 years of renal transplantation experience.
- Increasing prevalence of elderly recipients and diabetic patients undergoing transplantation.
- Addressing the critical shortage of cadaveric donor organs.
Purpose:
- To summarize the evolution of renal transplantation outcomes over three decades.
- To highlight adaptations in donor organ procurement.
- To analyze the impact of changing recipient demographics on transplant success.
Summary:
- Renal transplantation outcomes demonstrate progressive clinical improvement over 33 years.
- A rising proportion of elderly and diabetic individuals are recipients.
- Graft availability was enhanced through utilization of non-heart-beating donors and a living donor program.
Impact:
- Demonstrates long-term success and adaptability of renal transplant programs.
- Provides insights into managing complex recipient populations.
- Offers strategies for overcoming organ donor shortages in transplantation.
Related Concept Videos
Kidney Transplant I: Introduction
A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
Kidney Transplant II: Surgical Procedure
Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living donor...
Kidney Transplant III: Nursing Management
Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...

