1. Renal transplantation in diabetic patients: the end result does justify the means
- Author
-
J. Harold Helderman, Paul C. Peters, Peter Gailiunas, C. Atkins, Alan R. Hull, Arthur I. Sagalowsky, Richard M. Dickerman, and Charles W. Ransler
- Subjects
Adult ,Male ,medicine.medical_specialty ,Urology ,medicine.medical_treatment ,Postoperative Complications ,Allograft survival ,Medicine ,Humans ,Diabetic Nephropathies ,Kidney transplantation ,Dialysis ,business.industry ,Graft Survival ,Patient survival ,Middle Aged ,medicine.disease ,Kidney Transplantation ,Surgical morbidity ,Surgery ,Transplantation ,surgical procedures, operative ,Renal allograft ,Kidney Failure, Chronic ,Female ,business ,Cadaveric spasm - Abstract
There were 49 insulin-dependent diabetics who received 52 renal allografts: 13 from living related and 39 from cadaveric donors. The mean age and time on dialysis were similar for both recipient groups. Patient survival at 1 and 2 years was 100 per cent for living related donor recipients, and 76 and 56 per cent at 1 and 2 years for cadaveric recipients. Renal allograft survival was 92 and 85 per cent at 1 and 2 years for living related donor recipients. Cadaveric allograft survival was 49 and 41 per cent at 1 and 2 years. The cumulative mortality rate was 39 per cent and the over-all surgical morbidity was low. Renal transplantation in diabetic patients is worthwhile from the standpoint of patient and allograft survival.
- Published
- 1983