Renal transplantation in diabetic patients with or without simultaneous pancreatic transplantation 1986: data from the EDTA Registry.
This report summarises the outcome of 90 combined kidney/pancreatic grafts performed in Europe in 1986. Data for the combined kidney/pancreas grafts were obtained by a special questionnaire. The one-year patient and kidney graft survival is compared to the results of a group of 389 patients with diabetic nephropathy on the EDTA Registry data file who received kidney grafts alone. The recipients of combined kidney-pancreas grafts were younger, whereas a greater proportion of males received kidney graft alone. Patient survival at one year after transplantation was similar: 89% in recipients of combined transplants compared to 90% in recipients of kidney grafts alone. Kidney graft survival was 78% at one year for recipients of combined grafts versus 76%. It is concluded that pancreas transplantation has little effect on the fate of concomitant kidney grafts. The procedure should-in experienced hands and in selected patients-be almost as safe as kidney grafting alone.
Tufveson
G
G
EDTA Registry, St Thomas' Hospital, London, UK.
Brynger
H
H
Dimeny
E
E
Brunner
F P
FP
Ehrich
J H
JH
Fassbinder
W
W
Geerlings
W
W
Rizzoni
G
G
Selwood
N H
NH
Wing
A J
AJ
D000328:Adult; D003928:Diabetic Nephropathies / Q000401:mortality / Q000601:surgery*; D005060:Europe / Q000453:epidemiology; D005260:Female; D006085:Graft Survival; D006801:Humans; D016030:Kidney Transplantation / Q000401:mortality / Q000706:statistics & numerical data*; D008297:Male; D008875:Middle Aged; D016035:Pancreas Transplantation / Q000401:mortality / Q000706:statistics & numerical data*; D012042:Registries