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MINERVA UROLOGICA E NEFROLOGICA

A Journal on Nephrology and Urology


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  XIV CONGRESS OF THE SOCIETA' ITALIANA DI NEFROLOGIA SEZIONE PIEMONTE-VALLE D'AOSTA
(Ivrea, October 5, 1996)


Minerva Urologica e Nefrologica 1998 March;50(1):81-6

Copyright © 1998 EDIZIONI MINERVA MEDICA

language: Italian

Critical review of data concerning renal transplantation in Piedmont Regional Registry of dialysis and transplantation

Baroni A. 1, Pozzato M. 1, Fabiano M. 1, Serra A. 1, Vallero A. 1, Cusinato S. 1, Salomone M. 2

1 Ospedale Castelli - Verbania, Unità Operativa di Nefrologia e Dialisi; 2 Ospedale Valletta - Torino, Unità Operativa di Nefrologia e Dialisi


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On 31/12/1995 a total of 1,128 Piedmontese ure-mic patients had undergone kidney trans-plantation, with 65% of operations performed by the Regional Reference Centre and 35% by extra-regional centres. Waiting time for dialysis was less than 5 years in over half of the patients most of whom were aged between 40 and 60 years old. In overall terms, the patient survival rate was 94% - 87% - 75% at 24 - 60 - 120 months respectively, with a statistically significant improvement when the curve was evaluated in the patient-pool treated with cyclosporine (84% versus 87% at 7 years). Organ survival was 76% at 21 years and 42% at 10 years, and results were again improved by the use of cyclosporine. Pathologies affecting the trans-planted organ represent the main cause of morbidity; drop-out during dialisys is caused above all by immunological diseases. Infectious pathologies were responsible for the majority of deaths in this population.

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