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doi:10.6002/ect.2016.0290

Cited by 9 publications

(5 citation statements)

References 32 publications

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“…Study limitations include the small sample size, which limits our ability to determine significant risk factors for the development of postoperative complications, and the lack of a comparison group comprised of similar grafts but without the requirement for PN. However, as described above, data from previous studies have shown similar incidences of urologic complications ( 35 , 37 ) and surgical complications ( 38 , 39 ), as well as similar clinical outcomes ( 40 ).…”

Section: Discussionmentioning

confidence: 53%

Optimizing the kidney donor pool: transplanting donor kidneys after partial nephrectomy of masses or cysts

Tabbara,

Riella,

Gonzalez

et al. 2024

Front. Surg.

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BackgroundA limiting factor in expanding the kidney donor pool is donor kidneys with renal tumors or cysts. Partial nephrectomy (PN) to remove these lesions prior to transplantation may help optimize organ usage without recurrence of malignancy or increased risk of complications.MethodsWe retrospectively analyzed all recipients of a living or deceased donor graft between February 2009 and October 2022 in which a PN was performed prior to transplant due to the presence of one or more concerning growths. Donor and recipient demographics, perioperative data, donor allograft pathology, and recipient outcomes were obtained.ResultsThirty-six recipients received a graft in which a PN was performed to remove suspicious masses or cysts prior to transplant. Majority of pathologies turned out to be a simple renal cyst (65%), followed by renal cell carcinoma (15%), benign multilocular cystic renal neoplasm (7.5%), angiomyolipoma (5%), benign renal tissue (5%), and papillary adenoma (2.5%). No renal malignancy recurrences were observed during the study period (median follow-up: 67.2 months). Fourteen complications occurred among 11 patients (30.6% overall) during the first 6mo post-transplant. Mean eGFR (± standard error) at 36 months post-transplant was 51.9 ± 4.2 ml/min/1.73 m2 (N = 23). Three death-censored graft losses and four deaths with a functioning graft and were observed.ConclusionPN of renal grafts with suspicious looking masses or cysts is a safe option to optimize organ usage and decrease the kidney non-use rate, with no observed recurrence of malignancy or increased risk of complications.

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Section: Discussionmentioning

confidence: 53%

Optimizing the kidney donor pool: transplanting donor kidneys after partial nephrectomy of masses or cysts

Tabbara,

Riella,

Gonzalez

et al. 2024

Front. Surg.

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“…In the first 24 hours after kidney transplantation, nursing actions aim to prevent complications and prioritize the continuous evaluation of general health status with noninvasive monitoring of vital signs and evaluation of the nursing team of 1 hour/1 hour in the first 12 postoperative hours, which allows early and appropriate interventions for each type of worsening. This period of great potential for hemodynamic instability, cardiovascular and neurological complications, important metabolic alterations and the need for replacement of parenteral fluids in large volumes that require intensive care for the maintenance of life (5,23,43,(44)(45)(46)(47)(48)(49).…”

Section: Resultsmentioning

confidence: 99%

Nursing Care for Kidney Transplant Patients: A Scoping Review

et al. 2021

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Objectives: Mapping nursing care in kidney transplant patients. Materials and method: A scoping review was conducted according to the recommendations of the Joanna Briggs Institute Reviewers’ Manual. Data were collected through 13 national and international databases from December 2020 to January 2021, following scientific rigor in the selection of the material. The pre-selection was made by reading the title, abstract and introductory text in advance; the materials included in this stage were read in full to define the content for the study. Results: Fifteen studies were included. Of these, 60% are articles; dissertations, manuals, protocols, guidelines and bulletins totaled 40% of the material studied. 86.6% of the material has a quantitative approach. Regarding the methodological design, 73.3% were descriptive/transversal character studies. Regarding the mapping of nursing care, it was possible to divide them into two categories: nursing care after kidney transplantation (immediate, mediated and late) and nursing care after kidney transplantation in primary health/extra-hospital care. Conclusions: It is concluded that the study allowed mapping nursing care to kidney transplant patients in the immediate, late and primary health care periods.

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“…MUCs are the most common pathology after KT and are related to significant morbidity and mortality. 19 New surgical techniques have decreased the incidence of MUCs. 8 We analyzed a cohort of 1584 KT and determined its MUCs incidence, risk factors and their influence with graft loss and KT recipients’ mortality.…”

Section: Discussionmentioning

confidence: 99%

Risk Factors for Urologic Complications After Kidney Transplantation and Impact in Graft Survival

Torres¹,

García-López²,

Patiño-Jaramillo³

et al. 2022

RRU

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Background and Purpose: Kidney transplantation (KT) is the best therapy for chronic kidney disease (CKD). Major urologic complications (MUCs) are the second etiology associated to morbidity and graft loss following KT, after rejection episodes. The objective of this study was to estimate the incidence, risk factors and impact on graft survival associated to urological complications in KT patients. Patients and Methods: A retrospective cohort based on electronic patient files of kidney transplant recipients from Colombiana de Trasplantes was created for the period August 2008 to September 2019. Initiation of follow-up was defined as the date of transplantation up to 3 years post-transplantation. Incidence of ureteral stenosis, ureteral obstruction, and ureteral leak was measured. A logistic regression multivariate model was adjusted to determine the associated factors to MUCs (yes/no). Patient and graft survival time were analyzed using a Kaplan-Meier method. Results: A total of 1584 KT patients were included in the cohort. MUCs were present in 195 (12.6%) KT patients. We found that dialysis duration (OR: 1.004; p = 0.02) remained significant for the incidence of MUCs in KT patients of deceased donors. Probability of graft and patient survival at 3 years of follow-up was 90.5% and 85.5%, respectively. No significant difference was found on graft and patient survival in KT patients with or without MUCs. Conclusion: MUCs are frequent complications for KT. We did not observe significant differences in graft or patient survival according to the presence of MUCs. The identification of MUCs and risk factors may guide transplant teams for future surgical and clinical decisions.

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Untitled

Cited by 9 publications

References 32 publications

Optimizing the kidney donor pool: transplanting donor kidneys after partial nephrectomy of masses or cysts

Optimizing the kidney donor pool: transplanting donor kidneys after partial nephrectomy of masses or cysts

Nursing Care for Kidney Transplant Patients: A Scoping Review

Risk Factors for Urologic Complications After Kidney Transplantation and Impact in Graft Survival

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