title: Twenty-five year experience with renal transplantation at Santa Casa Hospital, Porto Alegre.
abstract: From 1977 to July 2002, 1,376 renal transplants were performed at Santa Casa of Porto Alegre. The number of transplants and the patient and graft survival rates have been rising each year since 1987. The overall one-year graft survival rates were 90% for living donor recipients and 80% for cadaver donor recipients, respectively; however, the patient and graft survival rates increased significantly between the early (1977-1995) and more recent (1996-2002) periods. Pediatric patients (less than 18 years old) accounted for 15.8% of the transplants that were performed, most of them from living related donors. The patient and graft survival rates did not differ statistically when we compared recipients of transplants from "ideal" and marginal cadaver donors, even when we considered only those risk factors that affected graft function in assigning a marginal donor. During the 25-year observation period, 537 grafts have been lost (39%), including those patients who died with functioning graft. We are currently following 834 patients with a functioning graft, with an average follow-up of 67+54 months.
authors.affiliation: Department of Nephrology, Santa Casa Hospital, Porto Alegre, Brazil.
authors.forename: Elizete
authors.initials: E
authors.lastname: Keitel
authors.forename: Auri Ferreira
authors.initials: AF
authors.lastname: dos Santos
authors.forename: Antonio Eduardo
authors.initials: AE
authors.lastname: Bittar
authors.forename: Rosana Mussoi
authors.initials: RM
authors.lastname: Bruno
authors.forename: Roberta
authors.initials: R
authors.lastname: Pozze
authors.forename: Marcele
authors.initials: M
authors.lastname: Duarte
authors.forename: Patrícia D'Almeida
authors.initials: PD
authors.lastname: Bianco
authors.forename: João Carlos
authors.initials: JC
authors.lastname: Goldani
authors.forename: Alexandre
authors.initials: A
authors.lastname: Messias
authors.forename: Alexandre
authors.initials: A
authors.lastname: Losekan
authors.forename: Dolores
authors.initials: D
authors.lastname: Bender
authors.forename: João Jorge
authors.initials: JJ
authors.lastname: Bianchini
authors.forename: Clotilde Druck
authors.initials: CD
authors.lastname: Garcia
authors.forename: Viviane
authors.initials: V
authors.lastname: Barros
authors.forename: Luciane H
authors.initials: LH
authors.lastname: Schneider
authors.forename: Santo Pascoal
authors.initials: SP
authors.lastname: Vitola
authors.forename: Enilde
authors.initials: E
authors.lastname: Guerra
authors.forename: Eduardo
authors.initials: E
authors.lastname: Didoné
authors.forename: Fabian
authors.initials: F
authors.lastname: Pires
authors.forename: Vitor Hugo Bazan
authors.initials: VH
authors.lastname: da Rocha
authors.forename: Tatiane
authors.initials: T
authors.lastname: Michelon
authors.forename: Sandra
authors.initials: S
authors.lastname: Fernandes
authors.forename: Jorge
authors.initials: J
authors.lastname: Neumann
authors.forename: Valter Duro
authors.initials: VD
authors.lastname: Garcia
mesh_terms: D000206:Actuarial Analysis; D000293:Adolescent; D000328:Adult; D001938:Brazil; D002102:Cadaver; D002648:Child; D005260:Female; D006085:Graft Survival / Q000502:physiology*; D006801:Humans; D016030:Kidney Transplantation / Q000401:mortality / Q000502:physiology / Q000706:statistics & numerical data*; D019520:Living Donors; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D015996:Survival Rate; D013997:Time Factors; D014019:Tissue Donors