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. 1989:287-93.

The University of Pittsburgh: a three and three-quarter-year experience with cadaveric renal transplantation under the point system

R Shapiro  1 , A G Tzakis, J J Fung, T R Hakala, M L Jordan, D Hickey, Y Iwaki, T E Starzl
Affiliations

The University of Pittsburgh: a three and three-quarter-year experience with cadaveric renal transplantation under the point system

R Shapiro et al. Clin Transpl. 1989.

Abstract

Eight hundred and sixty kidney transplants were performed at the University of Pittsburgh over a 3.75-year period between January 1, 1986 and October 19, 1989. Recipient selection was by means of a computerized point system designed to allocate organs equitably. Ninety-three percent 1-year patient survival and 74% 1-year graft survival were obtained in the overall group; 80% 1-year graft survival was obtained in patients receiving immunosuppression with CsA, azathioprine, and prednisone. These data serve as a measure of what can be achieved with an equitably based allocation system and can serve as a basis of comparison with other allocation protocols or new immunosuppressive regimens.

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Figures

Figure 1
Figure 1
Patient survival after cadaveric renal transplantation.
Figure 2
Figure 2
Graft survival after cadaveric renal transplantation.
Figure 3
Figure 3
Effect of recipient sex.
Figure 4
Figure 4
Effect of recipient race.
Figure 5
Figure 5
Adult versus pediatric recipients.
Figure 6
Figure 6
Primary versus retransplantation.
Figure 7
Figure 7
Effect of HLA matching.
Figure 8
Figure 8
Effect of HLA mismatching.
Figure 9
Figure 9
Effect of age on graft survival.
Figure 10
Figure 10
Effect of age on patient survival.
Figure 11
Figure 11
Effect of panel-reactive antibody (PRA).
Figure 12
Figure 12
Effect of immunosuppressive protocol.
Figure 13
Figure 13
Effect of immunosuppressive protocol in primary and retransplantation.
See this image and copyright information in PMC

References

    1. Starzl TE, Hakala T, Tzakis, et al. A multifactorial system for equitable selection of cadaveric kidney recipients. JAMA. 1987;257:3073. - PMC - PubMed
    1. UNOS update. 1990;Vol 6(No. 1)
    1. Shapiro R, Tzakis AG, Hakala TR, et al. Cadaveric renal transplantation at the University of Pittsburgh: A two and one half year experience with the point system. In: Terasaki PI, editor. Clinical Transplantation 1988. Los Angeles: UCLA Tissue Typing Lab; 1989. p. 181. - PMC - PubMed
    1. Shapiro R, Tzakis A, Hakala T, et al. Cadaveric renal transplantation under the American Organ Allocation System. In: Bonomini, Scolari MP, Stefoni S, et al., editors. Biotechnology in Renal Replacement Therapy, Contrib Nephrol. Vol. 70. Basel: Karger; 1989. p. 30. - PMC - PubMed
    1. Starzl TE, Fung J, Jordan M, et al. Kidney transplantation under FK 506. JAMA. submitted. - PMC - PubMed

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