title: Severe intellectual disability does not preclude renal transplantation.
abstract: BACKGROUND
  Intellectual disability (ID) in patients with chronic kidney disease is a relative contraindication for kidney transplantation.
  
  
  METHODS
  We analysed a retrospective cohort of 16 recipients of kidney transplantation with ID and 83 controls.
  
  
  RESULTS
  Graft survival at 5 years was similar between patients (81.2%) and controls (80.2%), P = 0.9. Patient survival at 5 years was lower among patients (81.2% versus 94.4%, P < 0.05). Patients had more infection episodes, but no risk factors were identified.
  
  
  CONCLUSIONS
  Although recipients with ID have lower long-term patient survival, the equivalent graft survival rates support the indication of renal transplantation in such disability.
authors.affiliation: Hospital do Rim e Hipertensão, Department of Medicine, Division of Nephrology, Federal University of São Paulo, Rua Borges Lagoa 960, Villa Clementino, São Paulo - SP, Brazil.
authors.forename: Nelson Z
authors.initials: NZ
authors.lastname: Galante
authors.forename: Gustavo A
authors.initials: GA
authors.lastname: Dib
authors.forename: José O
authors.initials: JO
authors.lastname: Medina-Pestana
mesh_terms: D000293:Adolescent; D000328:Adult; D016022:Case-Control Studies; D002648:Child; D002675:Child, Preschool; D002908:Chronic Disease; D015331:Cohort Studies; D000075202:Contraindications; D005260:Female; D006085:Graft Survival; D006801:Humans; D008607:Intellectual Disability / Q000150:complications*; D053208:Kaplan-Meier Estimate; D007674:Kidney Diseases / Q000601:surgery*; D016030:Kidney Transplantation; D008297:Male; D012189:Retrospective Studies; D012720:Severity of Illness Index; D055815:Young Adult