title: Renal transplantation in patients undergoing chronic peritoneal dialysis.
abstract: OBJECTIVE
  To review the outcome of renal transplantation in a group of patients treated with chronic peritoneal dialysis and to compare the results with those of a matched population on hemodialysis.
  
  
  METHODS
  Retrospective study.
  
  
  METHODS
  Tertiary, institutional hospital, administering to a population of two million, with 100 patients on peritoneal dialysis. Six hundred and sixty renal transplantations were performed by the end of 1993.
  
  
  METHODS
  Fifty-six patients on chronic peritoneal dialysis who received 58 cadaveric renal allografts were compared to 58 patients on hemodialysis who received a graft from the same donor (n = 39), or the transplant next to the one performed to the corresponding patient on peritoneal dialysis (n = 19).
  
  
  RESULTS
  Patients on peritoneal dialysis showed a lower rate of delayed graft function (24.1 vs 50%, p < 0.05) and a similar incidence of acute rejection than patients on hemodialysis. Also, peritoneal dialysis patients received less supplementary immunosuppression, suffered a lower incidence of late infections (0.93 vs 0.58 episodes/patient), and had a similar incidence of dialysis-related complications (0.25 vs 0.20 episodes/patient).
  
  
  CONCLUSIONS
  Patients on peritoneal dialysis do well after renal transplantation. The incidence of some complications, particularly delayed graft function, is lower than in patients on hemodialysis, while the incidence of dialysis-associated complications is similar in both groups.
authors.affiliation: Nephrology Unit, Hospital Juan Canalejo, A Coruña, Spain.
authors.forename: M P
authors.initials: MP
authors.lastname: Pérez Fontán
authors.forename: A
authors.initials: A
authors.lastname: Rodríguez-Carmona
authors.forename: T
authors.initials: T
authors.lastname: García Falcón
authors.forename: J
authors.initials: J
authors.lastname: Moncalián
authors.forename: J
authors.initials: J
authors.lastname: Oliver
authors.forename: F
authors.initials: F
authors.lastname: Valdés
mesh_terms: D000328:Adult; D005260:Female; D006084:Graft Rejection; D006801:Humans; D016030:Kidney Transplantation / Q000401:mortality; D008297:Male; D008875:Middle Aged; D010530:Peritoneal Dialysis; D011183:Postoperative Complications; D006435:Renal Dialysis; D012189:Retrospective Studies; D015996:Survival Rate