title: Renal transplantation in a heterogeneous population: the thirty-year Montefiore Medical Center experience.
abstract: Based on more than 30 years of renal transplantation experience at Montefiore Medical Center we conclude: 1. Improved patient and graft survival can be achieved in the cadaveric transplant recipient despite increasing co-morbidities. 2. Patients at the extremes of age (< 10 or > 60) can undergo renal transplantation safely, with patient and graft survival rates approaching those of the general recipient population. 3. Results of transplantation in African-Americans are as good as non African-Americans at 3 years. Beyond that point the graft survival curves diverge. Well matched (0-1 HLA mismatches) kidneys in the African-American patient do as well if not better than other ethnic groups. However, African-Americans do not receive as many well matched kidneys as others.
authors.affiliation: Montefiore Medical Center-Albert Einstein College of Medicine, Bronx, New York, USA.
authors.forename: S M
authors.initials: SM
authors.lastname: Greenstein
authors.forename: D
authors.initials: D
authors.lastname: Kim
authors.forename: A
authors.initials: A
authors.lastname: Principe
authors.forename: E
authors.initials: E
authors.lastname: Ong
authors.forename: W
authors.initials: W
authors.lastname: Chin
authors.forename: D
authors.initials: D
authors.lastname: Glicklich
authors.forename: R
authors.initials: R
authors.lastname: Schechner
authors.forename: V
authors.initials: V
authors.lastname: Tellis
mesh_terms: D000293:Adolescent; D000328:Adult; D001741:Black or African American; D000368:Aged; D044383:Black People; D002102:Cadaver; D002648:Child; D005260:Female; D006085:Graft Survival; D006650:Histocompatibility Testing; D006785:Hospitals, University / Q000706:statistics & numerical data; D006801:Humans; D016030:Kidney Transplantation / Q000401:mortality / Q000502:physiology / Q000706:statistics & numerical data*; D008297:Male; D008875:Middle Aged; D009519:New York City; D044469:Racial Groups; D012086:Reoperation; D012189:Retrospective Studies; D015996:Survival Rate; D014019:Tissue Donors