Report of 1,000 Kidney Transplants at the Sungkyunkwan University of Korea

Abstract

Background: This study aims to report clinical outcome and long term graft and patient survival rate of one thousand kidney transplantation. We analyzed risk factors that impact on graft survival in the 1,000 case of kidney transplantation through this study.Methods: We have performed 1,000 cases of kidney transplantation in Samsung Medical Center, Seoul, Korea from February 1995 to January 2008. We retrospectively reviewed medical record of recipients and donors.Results: The mean follow up period was 69 months. Composition of type of donor was living donor, 653 cases and deceased donor, 347 cases. Type of donor source was mostly living-related type. 94 cases had graft failure. Major cause of graft failure was chronic allograft nephropathy. And major viral infection was cytomegalovirus infection. Major non-viral infection was urinary tract infection. 47 cases of immediate post operative complication was diagnosed as lymphocele. Overall 10-year graft survival rate was 83.9% respectively. 10-year patient survival rate was 95.7% respectively. 10-year graft survival and patient survival of recipient were significantly different between living donation group and deceased donation group.Conclusions: In this report, only two risk factor were statically significant difference.

Happiness among Young Adults Living in Poverty in South Korea

“…In particular, young adults living in poverty tend to face multiple risks mainly due to the lack of family economic resources. In addition, because South Koreans have been reported to have the lowest happiness levels for all age groups compared to other countries 36,37,60) , this study focuses on South Korean young adults in poverty and examines the various predictors of happiness.…”

“…Empirical studies on happiness have investigated the level of happiness or the determinants of happiness 36,37,[59][60][61] .…”

“…Meanwhile, national comparative studies have reported that the happiness level of South Koreans is the lowest for all age groups compared to their counterparts in other countries. South Korean children and teenagers aged 9 to 17 are the least happy 36) and adults also showed the lowest happiness level 37) among their peers in all other OECD countries. Although demographic trends suggest that the number of young adults in poverty is rapidly increasing under COVID-19 28) , their happiness has rarely been studied.…”

Kidney donor risk index is a good prognostic tool for graft outcomes in deceased donor kidney transplantation with short, cold ischemic time

“…However, outcomes of ECD kidneys were comparable to those of SCD kidneys in a Korean study , and short, cold ischemic time (CIT) is thought to explain the good ECD outcomes observed . Longer CIT is a significant risk factor for DGF, acute rejection, and graft survival , and CIT in Korea is much shorter than in other countries . Therefore, binary criteria of ECD might not predict graft outcome in regions with short CIT, including Korea .…”

Analysis of 1,500 Kidney Transplantations at Sungkyunkwan University

“…신장이식)와 신장이식 후 거부반응의 발생 유무가 이식 신장의 생존율에 영향을 미치는 독립적인 위험인자임을 확인한 바 있다 (5). 본 연구에서 저자들은 1995년 2월부 터 2012년 1월까지 성균관대학교 의과대학 삼성서울병원 에서 시행된 1,500예의 신장이식의 임상적인 특성과 경 과를 후향적으로 분석하였고 이를 토대로 향후 신장이식 후 이식신장의 기능유지 및 환자 생존에 대한 기본 자료 를 제공하고 신장이식 후 이식 신장의 기능 저하로 인한 이식편 부전(graft failure), 합병증 등에 대해 영향을 미 치는 인자들에 대해 살펴보고자 한다.…”