Renal transplantation in a heterogeneous population: the thirty-year Montefiore Medical Center experience.
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.
Greenstein
S M
SM
Montefiore Medical Center-Albert Einstein College of Medicine, Bronx, New York, USA.
Kim
D
D
Principe
A
A
Ong
E
E
Chin
W
W
Glicklich
D
D
Schechner
R
R
Tellis
V
V
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