IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v19y2022i4p2010-d746840.html
   My bibliography  Save this article

Organization of Post-Transplant Care and the 5-Year Outcomes of Kidney Transplantation

Author

Listed:
  • Agnieszka Szymańska

    (Department of Immunology, Transplantology and Internal Diseases, Medical University of Warsaw, 02-091 Warsaw, Poland)

  • Krzysztof Mucha

    (Department of Immunology, Transplantology and Internal Diseases, Medical University of Warsaw, 02-091 Warsaw, Poland
    Institute of Biochemistry and Biophysics, Polish Academy of Sciences, 02-091 Warsaw, Poland)

  • Maciej Kosieradzki

    (Department of General and Transplantation Surgery, Medical University of Warsaw, 02-091 Warsaw, Poland)

  • Sławomir Nazarewski

    (Department of General, Vascular and Transplant Surgery, Medical University of Warsaw, 02-091 Warsaw, Poland)

  • Leszek Pączek

    (Department of Immunology, Transplantology and Internal Diseases, Medical University of Warsaw, 02-091 Warsaw, Poland
    Institute of Biochemistry and Biophysics, Polish Academy of Sciences, 02-091 Warsaw, Poland)

  • Bartosz Foroncewicz

    (Department of Immunology, Transplantology and Internal Diseases, Medical University of Warsaw, 02-091 Warsaw, Poland)

Abstract

The outcomes of kidney transplantation depend on numerous factors and vary between transplant centers. The aim of this study is to assess the relationship between selected organizational factors, comorbidities, and patient and graft survival. This is a retrospective analysis of 438 renal transplant recipients (RTR) followed for 5 years. Patient and graft survival were evaluated in relation to hospitalization length, distance from the patient’s residence to the transplant center, the frequency of outpatient transplant visits, and the number and type of comorbidities. Five-year patient and graft survival rates were 93% and 90%, respectively. We found significant associations of patient survival with the prevalence of pre-transplant diabetes, cardiovascular diseases, malignancies, the number of comorbidities, and the first post-transplant hospitalization length. The incidence of infections, cardiovascular diseases, and transplanted kidney diseases was 60%, 40%, and 33%, respectively. As many as 41% of RTR had unknown etiology of primary kidney disease. In conclusion, the organization of post-transplant care needs to be adapted to the multi-morbidity of contemporary RTR and include multi-specialist care, especially in the context of current problems related to the COVID-19pandemic. The high proportion of patients with undetermined etiology of their primary renal disease carry the risk for additional complications during their long-term follow-up.

Suggested Citation

  • Agnieszka Szymańska & Krzysztof Mucha & Maciej Kosieradzki & Sławomir Nazarewski & Leszek Pączek & Bartosz Foroncewicz, 2022. "Organization of Post-Transplant Care and the 5-Year Outcomes of Kidney Transplantation," IJERPH, MDPI, vol. 19(4), pages 1-12, February.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:4:p:2010-:d:746840
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/19/4/2010/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/19/4/2010/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Elzbieta Wlodarczyk & Ondřej Viklický & Klemens Budde & Marie Kolářová & Leon Bergfeld & Leszek Paczek & Krzysztof Mucha & Maciej Glyda & Zbigniew Wlodarczyk, 2021. "Analysis of Factors Affecting Employment Status of Kidney Transplant Recipients in Selected European Union Member States," IJERPH, MDPI, vol. 18(19), pages 1-9, September.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.

      Corrections

      All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:19:y:2022:i:4:p:2010-:d:746840. See general information about how to correct material in RePEc.

      If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

      If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

      If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

      For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

      Please note that corrections may take a couple of weeks to filter through the various RePEc services.

      IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.