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HD_Tx1108 1/5/09 11:51 AM Page 3 www.renalandurologynews.com DECEMBER 2008 Renal & Urology News 23 Long-Term Dialysis Is a Renal Tx Risk Pretransplant hemodialysis over 10 years found to predict worse graft and patient survival PATIENTS ON hemodialysis (HD) 89.2% and 95.8%, respectively, at one and 93.1%, respectively. Eight patients virus and cytomegalovirus infection, for more than 10 years prior to renal year, 60.4% and 88.5% at five years, in the long-term group (20.5%) experi- were more frequent in the long-term transplantation have worse outcomes and 33.4% and 80.4% at 10 years, the enced acute rejection compared with group. The researchers believe impaired after receiving their kidneys com- authors reported in Transplantation 63 in the short-term group (15.7%). intestinal absorption reduced uptake of pared with patients who received HD Proceedings (2008;40:2297-2298). Pa- Pretransplant complications, includ- immunosuppressive agents, which led for shorter periods. tient survival rates were 93.2% and ing diabetes mellitus, cardiovascular to deficits in immunosuppression and This study of 436 patients who under- 98.6%, 79.3% and 95.4%, and 58.4% disease, hypertension, and hepatitis C subsequent acute rejection episodes. I went renal transplantation was led by Hidetaka Ushigome, MD, PhD, and his team at Kyoto Prefectural University Graduate School of Medical Science. Of this cohort, 39 patients had been treated
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