The kidney transplant experience at Hospital de Especialidades, Centro Médico Nacional de Occidente, IMSS, Guadalajara México.
A total of 1,356 kidney transplants has been performed in the Hospital de Especialidades del Centro Médico Nacional de Occidente, IMSS, in Guadalajara Mexico, including 935 in the past 8 years. This represents an important increase of this activity in our country. Of the total transplants, 1,218 (90%) were from living donors and only 138 (10%) were from cadaveric donors, a number that we hope to increase. Most recipients were young adults, with an average age of 31 years old. The overall one-year graft and patient survival rates for living-donor kidney recipients were 90% and 82%, and for cadaveric kidney recipients they were 80% and 70%, respectively. Acute rejections occurred in 17% and chronic allograft nephropathy was diagnosed in 7% of our kidney transplant recipients. The main cause of patient death was infection, frequently invasive CMV. Cardiovascular complications were a relatively infrequent cause of death as has been seen in other international series. Hepatitis B and C have been widley studied. Hepatitis C is the most prevalent viral infection in our population. Both living and cadaveric donors in our series were young, which may explain the good results. We have had very few complications among living donors and no mortality. Two donors developed chronic renal insufficiency after the kidney donation (0.001%). This excellent safety record reflects the experience of our team. We hope to increase the number of cadaveric transplant donors with the renewed interest in enlarging the transplantation programs in Mexico while maintaining our high percentage of living donors in order to benefit more patients.
Monteón
Francisco J
FJ
Department of Nephrology and Transplant Unit, Hospital de Especialidades, Centro Médico Nacional del Occidente, Instituto Mexicano del Seguro Social, Guadalajara, México.
Gómez
Benjamin
B
Valdespino
Carlos
C
Chávez
Salvador
S
Sandoval
Mario
M
Flores
Antonio
A
Herrera
Roberto
R
Ramos
Francisco
F
Hernandez
Alfonso
A
Camarena
José L
JL
Páez
Hugo
H
Ramírez
José
J
Nieves
Juan J
JJ
Bassols
Angel
A
Rosales
Guillermo
G
Romero
Omar
O
Paredes
Graciela
G
Andrade
Jorge
J
Ruelas
Sara
S
Contreras
Ana M
AM
D000293:Adolescent; D000328:Adult; D002908:Chronic Disease; D005260:Female; D006509:Hepatitis B / Q000150:complications / Q000453:epidemiology; D006526:Hepatitis C / Q000150:complications / Q000453:epidemiology; D006801:Humans; D007674:Kidney Diseases / Q000150:complications / Q000601:surgery; D007676:Kidney Failure, Chronic / Q000150:complications; D016030:Kidney Transplantation / Q000706:statistics & numerical data; D008107:Liver Diseases / Q000209:etiology; D019520:Living Donors; D008297:Male; D008800:Mexico; D008875:Middle Aged; D015995:Prevalence; D014019:Tissue Donors