title: Shorter waiting times for hepatitis C virus seropositive recipients of cadaveric renal allografts from hepatitis C virus seropositive donors.
abstract: BACKGROUND
  The purposes of this study were: 1) to analyze the early results of cadaveric renal transplantation from either hepatitis C virus seropositive (HCV+ ) or hepatitis C virus seronegative (HCV-) donors into HCV + recipients; and 2) to determine whether HCV+ patients with end-stage renal disease (ESRD) might benefit from receiving renal allografts from HCV + donors.
  
  
  METHODS
  From January 1997 to June 1999, 28 patients with ESRD and HCV infection underwent 29 cadaveric renal transplants. The data were reviewed retrospectively. Nineteen of the renal transplants were performed with allografts obtained from 15 HCV + donors and 10 with allografts obtained from 10 HCV- donors. The median follow-up was 16.2 months, with an average of 15.4+/-2 months.
  
  
  RESULTS
  Recipients of HCV + renal allografts had shorter waiting times for transplantation. On average, patients who received a kidney from HCV + donors were transplanted 9+/-3 months after being placed on the transplant list, compared to 29+/-3 months for patients who received a kidney from a HCV- donor. Shorter waiting times were noted in every blood type group. There were no significant differences in rejection episodes, infectious complications, renal function, liver function, graft survival, or patient survival.
  
  
  CONCLUSIONS
  The use of renal allografts from HCV + donors for HCV + recipients shortens the waiting time for these patients, with no short-term differences in renal and liver function, graft loss, or patient survival.
authors.affiliation: Department of Surgery, The Johns Hopkins Hospital, Baltimore, MD 21287-8611, USA.
authors.forename: A K
authors.initials: AK
authors.lastname: Mandal
authors.forename: E S
authors.initials: ES
authors.lastname: Kraus
authors.forename: M
authors.initials: M
authors.lastname: Samaniego
authors.forename: R
authors.initials: R
authors.lastname: Rai
authors.forename: S L
authors.initials: SL
authors.lastname: Humphreys
authors.forename: L E
authors.initials: LE
authors.lastname: Ratner
authors.forename: W R
authors.initials: WR
authors.lastname: Maley
authors.forename: J F
authors.initials: JF
authors.lastname: Burdick
mesh_terms: D000328:Adult; D002102:Cadaver; D005260:Female; D006526:Hepatitis C / Q000097:blood; D018937:Hepatitis C Antibodies / Q000097:blood; D006801:Humans; D016030:Kidney Transplantation; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology; D012189:Retrospective Studies; D013997:Time Factors; D014019:Tissue Donors
chemical_list: D018937:Hepatitis C Antibodies